ePlasty: Vol. 19
Cutaneous Aspergillus fumigatus infection in a Newborn
Cara M. Barber, BS,a Matthew P. Fahrenkopf, MD,a,b Megan L. Dietze-Fiedler, MD,a,b Jenny L. Nguyen, MD,a,b and John A. Girotto, MDa,b,c

aMichigan State University College of Human Medicine, Grand Rapids; bSpectrum Health/Michigan State University Plastic Surgery Residency, Grand Rapids; and cPediatric Plastic Surgery and Dermatology, Helen DeVos Children's Hospital, Grand Rapids, Mich

Correspondence: matt.fahrenkopf@gmail.com
Keywords: premature, fungal, cutaneous, Aspergillus fumigatus, neonatal


A preterm infant was born at 23 weeks 2 days, via emergency cesarean section, secondary to maternal hemorrhage and suspected placental abruption. On day 9 of life, she developed a spontaneous cutaneous eschar on the right flank. This was punch biopsied and later grew Aspergillus fumigatus.


1. What is the incidence of neonatal fungal infections?

2. What is the differential diagnosis?

3. What are the types of Aspergillus infection in newborns?

4. How do you treat neonatal fungal infections?