Cutaneous alternariosis and regional lymphadenitis during allogeneic BMT

Alternariosis, a fungal infection resembling aspergillosis, has been described in immunocompromized and immunocompetent hosts. We report a case of cutaneous alternariosis that occurred during neutropenia in an allogeneic BMT patient receiving antifungal prophylaxis with fluconazole. Therapy required surgical excision and iv amphotericin B. Awareness of this entity may help in early diagnosis and successful therapy.