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Journal of the American Academy of Dermatology
Volume 44, n° 2P2
pages 370-372 (février 2001)
Doi : 10.1067/mjd.2001.107776
Coexistent cutaneous Aspergillus and cytomegalovirus infection in a liver transplant recipient
 

Janet Wong, MDa, Gary McCracken, MDa, Salve Ronan, MDb, Iris Aronson, MDb
Chicago, Illinois 
From the Departments of Dermatologya and Pathology,b University of Illinois at Chicago 

Abstract

Cutaneous infections are a significant cause of morbidity in solid organ recipients. These infections may be complex with multiple pathogens occurring in the same lesion. We describe the unusual association of cutaneous Aspergillus and cytomegalovirus (CMV) infections in a liver transplant recipient. Cutaneous CMV infection is rare and often indicates severe systemic involvement, whereas Aspergillus is a frequent cause of opportunistic cutaneous fungal infection. Seven weeks after liver transplantation, our patient had hemorrhagic, eroded plaques develop on his arms. The results of routine histology, immunoperoxidase staining for CMV antibody, and fungal culture revealed coexistent cutaneous Aspergillus flavus and CMV infections. The patient was treated with ganciclovir, amphotericin B, and topical terbinafine cream; however, 2 weeks after the development of the cutaneous lesions, the patient died. (J Am Acad Dermatol 2001;44:370-2.)

The full text of this article is available in PDF format.

 This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology.
 Reprint requests: Iris K. Aronson, MD, University of Illinois at Chicago, College of Medicine, Department of Dermatology (M/C 624), 376 College of Medicine East, 808 S Wood St, Chicago, IL 60612-7307.
 J Am Acad Dermatol 2001;44:370-2



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