SUPPURATIVE CUTANEOUS GRANULOMATA CAUSED BY MICROASCUS-CINEREUS IN A PATIENT WITH CHRONIC GRANULOMATOUS-DISEASE

We describe a patient with chronic granulomatous disease who presented with erythematous papular skin lesions on the chest, back, and arm, E xamination of biopsy specimens from the lesions on the arm and back sh owed suppurative granulomata in association with acute and chronic inf lammation, Histopathologic examination of a specimen from the lesion o n the arm revealed fungal elements, and cultures yielded Microascus ci nereus. The patient was treated with 2.5 g of intravenous amphotericin B, and the lesions resolved. We report what is, to our knowledge, the first case of invasive disease due solely to M, cinereus.