Primary cutaneous aspergillosis in an extremely low birth weight preterm.

Aspergillosis is an uncommon infection in neonates. However, it has been an emerging problem for preterm infants in recent years because of long-term parenteral nutrition, multiple-antibiotic therapy and immune deficiency due to prematurity. We report a preterm neonate with disseminated cutaneous lesions due to primary cutaneous aspergillosis. She died despite an early treatment with liposomal amphotericin B. Fungal infections should be remembered in preterms whose clinical conditions and laboratory tests for infection deteriorate, despite an appropriate antibiotic and supportive therapy.