RESECTION OF CHEST-WALL AND CENTRAL VEINS FOR INVASIVE CUTANEOUS ASPERGILLUS INFECTION IN AN IMMUNOCOMPROMISED PATIENT

Primary cutaneous invasive Aspergillus infection at a Hickman catheter site led to chest wall involvement and central venous suppurative thr ombophlebitis in a patient with relapsed acute myelogenous leukemia. T herapy included high-dose amphotericin B, serial wound debridements pe nding bone marrow recovery, and definitive resection of the infected c hest wall and thrombosed internal jugular, subclavian, and innominate veins. To our knowledge, this procedure for control of invasive fungal infection has not been reported previously.