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