Aspergillus nigerによる原発性皮膚アスペルギルス症─保育器管理下の超低出生体重児─

・保育器管理下における超低出生体重児のAspergillus nigerによる原発性皮膚アスペルギルス症を経験した．

・背部に褐色膜状の鱗屑痂皮が脱落してできた潰瘍があり，周囲に黒色壊死物質が付着していた．

・ラノコナゾール軟膏外用とミコナゾール硝酸塩配合液体石鹸による洗浄を行った．

（「症例のポイント」より）

　

Primary cutaneous aspergillosis caused by Aspergillus niger –An extremely low birth weight preterm infant in an incubator–

　

Mukai, Mirei1）Miyazaki, Natsumi2）Iwami, Hiroko3）Fukai, Kazuyoshi4） 1）Department of Dermatology, Fuchu Hospital 2）Department of Nursing, Osaka City General Hospital 3）Department of Neonatology Osaka City General Hospital 4）Department of Dermatology, Osaka City General Hospital

　

The primary cutaneous aspergillosis is rare in premature infant. We experienced the case of 22 weeks and 3 days gestational age, birth weight 325g female infant, who was treated in humidified incubator at NICU. She developed epidermal exfoliation and white necrotic tissue in the surroundings on her back at 7 days of age. A skin ulcer with a black necrotic substance was noted on her back when we were consulted on 18 days. Aspergillus niger was detected on the skin culture test. The presence of a skin ulcer or black necrotic tissue on the back of an extremely low birth weight preterm infant may indicate the primary cutaneous aspergillosis.