Primary cutaneous aspergillosis in six leukemic children.

Autor: Grossman ME, Fithian EC, Behrens C, Bissinger J, Fracaro M, Neu HC
Jazyk: angličtina
Zdroj: Journal of the American Academy of Dermatology [J Am Acad Dermatol] 1985 Feb; Vol. 12 (2 Pt 1), pp. 313-8.
DOI: 10.1016/s0190-9622(85)80042-6
Abstrakt: We report a cluster of primary cutaneous aspergillosis in six children with hematologic malignancy. When first seen, they had hemorrhagic bullae caused by Aspergillus flavus, Aspergillus fumigatus, and Aspergillus niger at the sites of insertion of intravenous cannulas or where arm boards had been taped to the extremities. Rapid diagnosis of cutaneous aspergillosis was made by direct examination of the blister roof with potassium hydroxide before it progressed to a necrotic ulcer. Intravenous amphotericin was instituted promptly in five of six patients, and none died of disseminated aspergillosis. Epidemiologic investigation tracked the source of aspergillus to a storeroom with a false ceiling that had recently been repaired for a water leak.
Databáze: MEDLINE