A case of atypical sporotrichosis with multifocal cutaneous ulcers

• Published in: Clinical and experimental dermatology Vol. 33; no. 2; pp. 135 - 138
• Main Authors: Fujii, H., Tanioka, M., Yonezawa, M., Arakawa, A., Matsumura, Y., Kore-eda, S., Miyachi, Y., Tanaka, S., Mochizuki, T.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.03.2008; Blackwell
• Subjects: Administration, Topical; Adrenal Cortex Hormones - adverse effects; Aged; Biological and medical sciences; Dermatology; Diagnosis, Differential; Female; Human mycoses; Humans; Infectious diseases; Medical sciences; Mycoses; Potassium Iodide - therapeutic use; Skin Ulcer - microbiology; Skin Ulcer - pathology; Sporothrix - drug effects; Sporothrix - pathogenicity; Sporotrichosis; Sporotrichosis - drug therapy; Sporotrichosis - etiology; Sporotrichosis - pathology; Treatment Outcome; Tropical mycoses; Infection; Mycosis; Dermatology; Ulcer; Atypical; Skin; Sporotrichosis
• ISSN: 0307-6938; 1365-2230
• DOI: 10.1111/j.1365-2230.2007.02572.x

Summary We report an atypical case of sporotrichosis in an elderly woman working as a horticulturist, who presented with multiple ulcers and nodules on the face and the right upper back. Histological examination found numerous small yeast‐like spores in the granulomatous reaction in the upper dermis. Culture and DNA analysis identified Sporothrix schenckii, group B. Misuse of topical steroids and self‐inoculation may have caused the atypical features found in this patient.