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KMID : 0363219960340020350
Korean Journal of Dermatology
1996 Volume.34 No. 2 p.350 ~ p.358
Primary Cutaneous aspergillosis from the Burn Wound of a Diabetic patient




Abstract
A 68-year-old man with uncontrolled diabetes mellitus was presented with a single 4¡¿2.5cm sized undermined purulent ulcer with a black eschar surrounded by erythematous indurated plaques on the dorsum of the his left foot.
Fungal hyphae were found in the deep dermis of the skin biopsy specimen. Aspergillus flavus was cultured and isolated by repeated fungal cultures from the pus and tissue pieces of skin biopsy specimens. Wide surgical debridement followed by a
skin
graft, and adjuvant antifungal treatment applied twice did not cure the skin lesion. We report a case of cutaneous aspergillosis shiwing a poor outcome in spite of surgical therapy and antifungal medication.
(Kor J Dermatol 1996;34(1) ; 350~354)
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