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[Simultaneous bilateral lymphangitic sporotrichosis]
José Antonio Barba Borrego1, Jorge Mayorga, Víctor Manuel Tarango-Martínez
1Instituto Dermatológico de Jalisco "Dr. José Barba Rubio", Centro de Referencia en Micología Médica, CEREMI, México.
Revista Iberoamericana De Micologia
|October 13, 2009
Summary
This study reports a rare case of bilateral lymphangitic sporotrichosis in a patient bitten by a pocket gopher. Successful treatment with potassium iodide highlights effective management for this unusual fungal infection.
Area of Science:
- Mycology
- Infectious Diseases
- Dermatology
Background:
- Sporotrichosis is a common subcutaneous mycosis in Jalisco, Mexico.
- Transmission typically occurs via animal bites or contaminated utensil injuries.
Observation:
- An unusual case of sporotrichosis presented with bilateral, lymphangitic cutaneous lesions on the upper limbs.
- The infection was linked to a bite from a pocket gopher (Geomys bursarius).
Findings:
- Mycology studies confirmed Sporothrix schenckii as the causative agent.
- Standard stains (Gram, Ziehl Neelsen) were negative, emphasizing the need for culture.
- Treatment with saturated potassium iodide solution led to complete lesion remission within four months.
Implications:
- This case underscores the rarity of bilateral lymphangitic sporotrichosis.
- It highlights the importance of considering animal bites, even from rodents, in sporotrichosis transmission.
- Effective treatment protocols for sporotrichosis can be achieved with potassium iodide.
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