Cutaneous aspergillosis in a renal transplant recipient

Aspergillosis is a serious infection in renal transplant patients especially if dissemination occurs. We report a case of primary cutaneous aspergillosis, an extremely rare entity described in only four cases in renal transplant. It should be sought when surgical wound shows a rapidly growing necrotizing features early post transplant and without evidence of hematogeneous or contiguous tissue or organ involvement. Early suspicion, diagnosis, extensive surgical debridement as well as rapid institution of Amphotericin B can minimize the risk of dissemination.