Sporotrichosis in childhood: clinical and therapeutic experience in 25 patients

Pediatr Dermatol. 2007 Jul-Aug;24(4):369-72. doi: 10.1111/j.1525-1470.2007.00452.x.

Abstract

Sporotrichosis in an uncommon mycoses in childhood and is generally associated with injuries received as a consequence of farm work. We undertook a retrospective study of sporotrichosis in children and adolescents seen over a 10-year period, focusing on their clinical, epidemiologic, and mycologic features as well as treatment. We included 25 children with a mean age of 9.3 years. Most of those affected were schoolchildren (84%) from rural areas. The main clinical variety of sporotrichosis seen was the lymphocutaneous form (64%), followed by the fixed cutaneous form (36%), and one instance of the disseminated cutaneous form. Most lesions were located on the upper limbs (40%) and the face (36%). Sporothrix schenckii was isolated in all patients and 24 of 25 had a positive sporotrichin skin test. Nineteen patients were treated and cured clinically and mycologically with potassium iodide, three were cured with itraconazole and one with heat therapy.

MeSH terms

  • Adolescent
  • Antifungal Agents / therapeutic use
  • Child
  • Child, Preschool
  • Cohort Studies
  • Humans
  • Hyperthermia, Induced
  • Infant
  • Itraconazole / therapeutic use
  • Potassium Iodide / therapeutic use
  • Retrospective Studies
  • Sporothrix
  • Sporotrichosis / diagnosis*
  • Sporotrichosis / microbiology
  • Sporotrichosis / therapy*
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Potassium Iodide
  • Itraconazole