Primary Cutaneous Aspergillosis Mimicking Dermatophytosis

The document discussed a case involving a child with acute monocytic leukemia, where a skin biopsy showed mycelia in a hair follicle, initially suggesting a dermatophyte infection. However, culture identified Aspergillus flavus, highlighting the importance of accurate identification of fungal infections in immunocompromised patients. The study emphasized that histologic findings can be misleading, and culture remains the most reliable method for identifying fungal pathogens to ensure proper treatment.