Conclusion
Immunosuppressed patients are subjected to various types of infections
due to their immunosuppression either due to primary disease or
immunosuppressive therapy; disease presentation tends to be different
and sometimes bizarre, the disease may develop in a way that not
previously described or encountered, our patient developed invasive
cutaneous aspergillosis without any evidence of primary blood infection,
or aspergillus sinuses disease, skin break or burn, definitive diagnosis
with biopsy is crucial in patients with neutropenia to identify the
underlying pathology and offending organism and start the therapy
accordingly.
Primary invasive cutaneous aspergillosis can develop in immunosuppressed
patients with intact skin without any history of skin break, burn, or
adhesive dressing, early intervention, and treatment will avoid serious
complications related to the primary infection.
AbbreviationsKOH: potassium hydroxide
BAL: Bronchoalveolar lavage
WHO: World health organization
ED: Emergency department
WBC: White blood cells
ID: Infectious diseases,
CT: Computed tomography
Plt: Platelets
G-CSF: Granulocyte colony stimulating factor