Author/Authors :
Amirrajab, Nasrin Student Research Committee - Faculty of Medicine - Mazandaran University of Medical Sciences, Sari , Aliyali, Masoud Department of Laboratory Sciences, School of Paramedical Sciences and Tropical Medicine Research Center - Ahvaz Jundishapur University of Medical Sciences - Ahvaz , Mayahi, Sabah Department of Medical Mycology and Parasitology, Faculty of Medicine , Najafi, Narges Department of Infectious Disease, North Iranian Tropical and Infectious Disease Research Center - Mazandaran University of Medical Sciences , Abdi, Ruhollah Department of Radiology, Mazandaran University of Medical Sciences , Shokohi, Tahereh Department of Medical Mycology and Parasitology, Faculty of Medicine , Nourbakhsh, Omid Skin Research Center - Shahid Beheshti University of Medical Sciences - Shohada‑e Tajrish Hospital, Tehran
Abstract :
We report an unusual case of co‑infection of invasive pulmonary aspergillosis (IPA) and fusarial skin infection in a patient with
classic pyoderma gangrenosum with unknown causes, which were previously controlled with oral prednisolone, cyclosporine. The
diagnosis was made on direct microscopy and culture of endobronchial washing, bronchoalveolar lavage and skin lesion biopsy.
The treatment failed, and the patient expired 12 days following hospitalization. This report highlights the rarity of coexistence of
IPA and a chronic fusarial skin infection and thereby reinforcing the physician’s attention toward the possibility of invasive fungal
infection in the immunosuppressed patients
Keywords :
pyoderma gangrenosum , invasive pulmonary aspergillosis , Aspergillus , Fusarium
