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| Fig. 32.12 Aspergillosis cellulitis at the site of adhesive tape demonstrating erythematous plaques with pustules. |
Patients may have single or multiple lesions that begin as a well-circumscribed papule, which over several days enlarges into an ulcer with a necrotic base and surrounding erythematous halo (Fig. 32-12). The organism has a propensity to invade blood vessels, causing thrombosis and infarction. The skin lesions can be very destructive and extend into cartilage, bone, and fascial planes. Aspergillosis should be considered in the differential diagnosis of necrotizing lesions.
