renal transplant patient
<p>A 54 yr old male patient who underwent a renal transplant one year earlier. The patient noticed a lesion on left plantar region, it was not painful but was slowly enlarging (over 9 months). In the latter 3 months the lesion became slightly purulent. Multiple cycles of antibiotics gave no improvemnt. Culture of the discharge produced Aspergillus niger. The final diagnosis of this patient was Aspergillus osteomyelitis. The patient was treated with voriconazole orally 200 mg twice daily.</p>
Kindly provided by IvÃ¡n Solano Leiva, Infectious Diseases MD, Instituto Salvadoreno del Seguro Social, El Salvador.