{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T22:07:48Z","timestamp":1773871668073,"version":"3.50.1"},"reference-count":14,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,2,4]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>Primary cutaneous aspergillosis (PCA) occurs through inoculation of fungal spores directly into the skin from the environment through disrupted skin such as in burns, surgery or penetrating trauma patients. Most cases reported in literature were in the immunocompromised, rarely in immunocompetent patients. The characteristic lesion of cutaneous aspergillosis is a black eschar on a red plaque, or nodule at the site of skin injury. The diagnosis of PCA can be made by identifying hyphal forms on routine H&amp;E staining or special stains such as periodic acid-Schiff or Gomori methenamine-silver stains on skin biopsy and by fungal cultures. We report a case of an 80-year-old farmer who developed cutaneous aspergillosis after a surgical procedure without any systemic spread. The diagnosis was made by histopathology and tissue fungal cultures. He was treated with incision and drainage followed by oral voriconazole for 4 weeks; which led to clinical recovery.<\/jats:p>","DOI":"10.1136\/bcr-2019-233020","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T04:25:13Z","timestamp":1581654313000},"page":"e233020","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Primary cutaneous <i>Aspergillus fumigatus<\/i> infection in immunocompetent host"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7855-7982","authenticated-orcid":false,"given":"Pradeep Kumar","family":"Mada","sequence":"first","affiliation":[{"name":"Infectious Diseases, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Alexander","family":"Salda\u00f1a Koppel","sequence":"additional","affiliation":[{"name":"Internal Medicine, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majd","family":"Al Shaarani","sequence":"additional","affiliation":[{"name":"Anatomic & Clinical Pathology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew Stevenson","family":"Joel Chandranesan","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,2,13]]},"reference":[{"key":"2025082707021630000_13.2.e233020.1","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000001018","article-title":"Cutaneous invasive aspergillosis: retrospective multicenter study of the French invasive-aspergillosis registry and literature review","volume":"94","author":"Bernardeschi","year":"2015","journal-title":"Medicine"},{"key":"2025082707021630000_13.2.e233020.2","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4103\/0378-6323.14006","article-title":"Primary cutaneous aspergillosis","volume":"71","author":"Prasad","year":"2005","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"2025082707021630000_13.2.e233020.3","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0163-4453(98)90303-6","article-title":"Primary cutaneous aspergillosis: our experience in 10 years","volume":"37","author":"Chakrabarti","year":"1998","journal-title":"J Infect"},{"key":"2025082707021630000_13.2.e233020.4","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000003747","article-title":"Factors affecting patient outcome in primary cutaneous aspergillosis","volume":"95","author":"Tatara","year":"2016","journal-title":"Medicine"},{"key":"2025082707021630000_13.2.e233020.5","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1046\/j.1365-2133.1999.03016.x","article-title":"Primary cutaneous aspergillosis","volume":"141","year":"1999","journal-title":"Br J Dermatol"},{"key":"2025082707021630000_13.2.e233020.6","unstructured":"Primary cutaneous aspergillosis in an immunocompetent host asymptomatic bilateral optic perineuritis in secondary syphilis 1982:1\u20132."},{"key":"2025082707021630000_13.2.e233020.7","doi-asserted-by":"publisher","DOI":"10.1172\/JCI110489"},{"key":"2025082707021630000_13.2.e233020.8","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1128\/iai.38.2.487-495.1982","article-title":"Damage to Aspergillus fumigatus and Rhizopus oryzae hyphae by oxidative and nonoxidative microbicidal products of human neutrophils in vitro","volume":"38","author":"Diamond","year":"1982","journal-title":"Infect Immun"},{"key":"2025082707021630000_13.2.e233020.9","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/69.2.188"},{"key":"2025082707021630000_13.2.e233020.10","doi-asserted-by":"publisher","DOI":"10.1086\/503427"},{"key":"2025082707021630000_13.2.e233020.11","doi-asserted-by":"crossref","first-page":"367","DOI":"10.4103\/0255-0857.55462","article-title":"Primary cutaneous aspergillosis due to Aspergillus niger in an immunocompetent patient","volume":"27","author":"Mohapatra","year":"2009","journal-title":"Indian J Med Microbiol"},{"key":"2025082707021630000_13.2.e233020.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(99)00037-6"},{"key":"2025082707021630000_13.2.e233020.13","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.mycmed.2011.09.003","article-title":"Primary cutaneous aspergillosis due to Aspergillus flavus in a neutropenic patient","volume":"21","author":"Saghrouni","year":"2011","journal-title":"J Mycol Med"},{"key":"2025082707021630000_13.2.e233020.14","unstructured":"Aspergillus flavus NRRL 21882 (006500) fact sheet. 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