Disseminated cutaneous sporotrichosis: unusual presentation in an alcoholic patient

Rev Inst Med Trop Sao Paulo. 2020:62:e60. doi: 10.1590/s1678-9946202062060. Epub 2020 Aug 31.

Abstract

Sporotrichosis is an implantation mycosis highly prevalent in Brazil, associated with soil activities and contact with infected animals. It has numerous clinical manifestations and its disseminated cutaneous form is uncommon, found in approximately 4% of cases and usually related to immunosuppressive conditions. We report an alcoholic 56-year-old male patient with no other comorbidities, presenting with multiple cutaneous nodules and ulcers. The patient was diagnosed with disseminated cutaneous sporotrichosis based on the isolation and identification of Sporothrix spp. The patient was initially treated with amphotericin B with satisfactory results and then with itraconazole.

Publication types

  • Case Reports

MeSH terms

  • Alcoholism / complications*
  • Amphotericin B / therapeutic use
  • Animals
  • Antifungal Agents / therapeutic use
  • Brazil
  • Humans
  • Itraconazole / therapeutic use
  • Male
  • Middle Aged
  • Sporothrix / isolation & purification*
  • Sporotrichosis / diagnosis*
  • Sporotrichosis / drug therapy
  • Treatment Outcome
  • Ulcer / etiology

Substances

  • Antifungal Agents
  • Itraconazole
  • Amphotericin B