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Updated: Jun 19, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Neonatal sporotrichosis
Brook E Tlougan1, Joshua O Podjasek, Sapna P Patel
1Department of Dermatology, New York University Langone Medical Center, New York, New York 10016, USA. brook.tlougan@gmail.com
Abstract:
Sporotrichosis is caused by the dimorphic fungus, Sporothrix schenckii. Classically, infection occurs after implantation of the organism into the skin by abrasion of a puncture wound by contaminated thorns, hay, or sphagnum moss. Cats are also a commonly recognized source of sporotrichosis. In children, fixed cutaneous lesions are more common than lymphocutaneous lesions, and the face is a frequent location for infection. We present a neonate with a fixed cutaneous facial lesion and both pre-auricular and cervical lymphadenopathy who developed signs of infection at 3 weeks of age. This patient is currently the youngest reported case of sporotrichosis in the literature. The patient's family denied any trauma and denied contact with flowers, gardens, and cats; thus, the source of infection remains unknown.
Insights
This study reports the youngest known case of sporotrichosis in a neonate. The rare pediatric infection presented as a facial skin lesion, with an unknown source despite no known exposure.
Area of Science:
- Medical Mycology
- Pediatric Infectious Diseases
Background:
- Sporotrichosis is a fungal infection caused by Sporothrix schenckii, typically acquired through skin implantation from contaminated sources like thorns or sphagnum moss.
- Cats are recognized reservoirs, and in children, fixed cutaneous or lymphocutaneous lesions, often on the face, are common presentations.
Observation:
- A neonate presented with a fixed cutaneous facial lesion and lymphadenopathy at three weeks of age.
- This represents the youngest reported case of sporotrichosis in medical literature.
- The infection source remained undetermined as the family reported no trauma or contact with typical sources like plants or cats.
Findings:
- The case highlights a rare presentation of sporotrichosis in a neonate, emphasizing the potential for atypical disease onset and presentation.
- The absence of a clear exposure source in this case underscores the challenges in identifying transmission routes for Sporothrix schenckii, even in pediatric populations.
Implications:
- This case expands the known age range for sporotrichosis and suggests that neonates can be susceptible to this fungal infection.
- It emphasizes the need for considering sporotrichosis in the differential diagnosis of neonatal skin lesions, even without a clear history of exposure.
- Further research may be needed to identify less common or unrecognized transmission pathways for Sporothrix schenckii in infants.
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