Primary cutaneous aspergillosis is a rare entity, usually caused by
A. fumigatus and
A. flavus . Here, we present such a case, manifested by ulceration due to
Aspergillus niger
, which remained undiagnosed for a prolonged period. The immunological status was intact, although the patient had associated severe fungal infection. Recurrence of the lesion occurred despite repeated anti-fungal therapies. Anti fungal testing was done based on the broth dilution (M-38A, NCCLS, USA) method. The culture isolate was found to be sensitive to fluconazole and amphotericin B. Continuation of antifungal therapy improved the symptoms, reducing the size of the lesion.
