Primary cutaneous aspergillosis presenting as a cystic lesion in the foot

Authors

DOI:

https://doi.org/10.3126/jpahs.v10i3.62533

Keywords:

aspergillosis, Aspergillus, cutaneous cyst

Abstract

Aspergillosis is a fungal infection, usually affecting the lungs, mostly in immunocompromised patients. Musculoskeletal or cutaneous involvement is extremely rare and when it does occur, the diagnosis and treatment is delayed. We present a case of primary cutaneous aspergillosis presenting as a cyst in the foot of a 54-year-old immunocompetent female. She presented with the complaint of painful lump over right foot at the region of the fourth webspace. Magnetic Resonance Imaging (MRI) was suggestive of infected ganglion cyst. However, histopathological examination showed granulomas with areas of caseous necrosis and silver stain showed multiple fungal hyphae with morphology suggestive of Aspergillus species.

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Author Biographies

Sarik Kumar Shrestha, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of Orthopaedics & Trauma Surgery, Patan Hospital

Rishi Ram Poudel, Patan Academy of Health Sciences, Lalitpur, Nepal

Assistant Professor, Department of Orthopaedics & Trauma Surgery, Patan Hospital

Yogesh Bajracharya, Patan Academy of Health Sciences, Lalitpur, Nepal

Medical Officer, Department of Orthopaedics & Trauma Surgery, Patan Hospital

Nabees Man Singh Pradhan, Patan Academy of Health Sciences, Lalitpur, Nepal

Professor, Department of Orthopaedics & Trauma Surgery, Patan Hospital

Rojin Thapa, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of Pathology, Patan Hospital

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Published

2023-12-31

How to Cite

Shrestha, S. K., Poudel, R. R., Bajracharya, Y., Pradhan, N. M. S., & Thapa, R. (2023). Primary cutaneous aspergillosis presenting as a cystic lesion in the foot. Journal of Patan Academy of Health Sciences, 10(3), 28–31. https://doi.org/10.3126/jpahs.v10i3.62533

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Section

General Section: Case Reports