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KMID : 1144320100420040244
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감염과 화학요법
2010 Volume.42 No. 4 p.244 ~ p.248
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A Case of Disseminated Aspergillosis Presenting Solely as Multiple Cutaneous Lesions in an Acute Leukemia Patient
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No Jin-Hee
Yu Jin-Sok
Kim Eun-Ok
Choi Hyun-Ho
Kim Si-Hyun
Kwon Jae-Cheol
Lee Dong-Gun
Choi Su-Mi
Park Sun-Hee
Choi Jung-Hyun
Yoo Jin-Hong
Kim Hee-Je
Min Woo-Sung
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Abstract
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Invasive aspergillosis (IA) is a major cause of morbidity and mortality in patients with hematological malignancies. While the development of new effective antifungals and advancement of diagnostic techniques have lead to improved outcomes, relapse of IA in patients with subsequent immunosuppression is emerging as a major issue. The primary IA site is the most common relapse site, but disseminated infection from the lung to multiple organs, including the brain, thyroid, liver, spleen, kidney, bone, heart valve, and skin, can often occur in patients with severe immunosuppression. Furthermore, relapsing or disseminated IA have very poor outcomes. We report a case of disseminated IA presenting as multiple cutaneous lesions without involvement of any other organs in an acute leukemia patient. The patient had suffered from prior invasive pulmonary aspergillosis, which was treated successfully. The multiple skin lesions were fully resolved after antifungal therapy for 6 weeks.
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KEYWORD
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Cutaneous aspergillosis, Disseminated aspergillosis, Acute myeloid leukemia
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