We describe nine patients with primary cutaneous aspergillosis who wer
e diagnosed during the 10-year period between 1987 and 1996. All excep
t one were adults. Seven of those nine cases had an immunocompromised
state. Among the immunocompromised patients, six had burn wounds and o
ne was a renal transplant recipient. Aspergillus flavus was isolated f
rom seven patients and A. fumigatus from one, and in one other case th
e species could not be determined. Three patients who had total burn s
urface area of more than 70% died. The other patients responded well t
o extensive surgical debridement with or without institution of oral i
traconazole.