Abstract
Primary cutaneous aspergillosis is a rare fungal infection that usually arises from direct inoculation of the skin. We present a case of a patient with acute leukemia who sustained a traumatic injury to his finger, which progressed to a severe necrotizing soft tissue fungal infection following the onset neutropenia. This case underscores the importance of early recognition and prompt initiation of antifungal treatment in patients who are immunocompromised, while highlighting the potential for rapid progression and severe outcomes.