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A rose by any other name.

Jodie Engle1, Janice Desir, Jack M Bernstein

  • 1Wright State University School of Medicine, 4100 West Third Street, Dayton, OH 45428, USA.

Skinmed
|May 8, 2007
PubMed
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A man contracted sporotrichosis, a fungal infection, after swimming in Haiti. Early diagnosis and treatment are crucial for managing this skin condition.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Sporotrichosis is a fungal infection caused by Sporothrix schenckii, often associated with soil and plant contact.
  • The infection typically presents with skin lesions and can spread to the lymphatic system.

Observation:

  • A 40-year-old man developed a finger lesion after swimming in Haiti, followed by forearm nodules and axillary adenopathy.
  • Physical examination revealed an eschar on the finger and erythematous nodules on the forearm and antecubital fossa.
  • Biopsy confirmed suppurative granulomatous dermatitis, with Sporothrix schenckii identified as the causative agent.

Findings:

  • The patient's presentation, including the initial lesion, subsequent nodules, and lymphadenopathy, is consistent with lymphocutaneous sporotrichosis.

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  • Isolation of Sporothrix schenckii from the biopsy specimen definitively diagnosed the infection.
  • The patient's recent travel to Haiti and swimming in the ocean were identified as potential exposure risks.

    • Implications:

    • This case highlights the importance of considering sporotrichosis in patients with endemic exposures and characteristic skin lesions.
    • Prompt diagnosis through biopsy and fungal culture is essential for effective treatment and preventing dissemination.
    • Public health awareness regarding potential environmental exposures to Sporothrix schenckii in tropical and subtropical regions is warranted.