Severe form of lymphocutaneous sporotrichosis: a case report.
Ezequias Batista MartinsSandra Maria Barbosa DurãesJulia de Abreu TeixeiraRemberto Maurício de La Cruz Vargas VilteAline Schultz KlitzkeThainá Busque Dos SantosKarla Regina Oliveira de Moura RonchiniLaura da Cunha FerreiraNatália Chilinque Zambão da SilvaIanick Souto MartinsBilly McBenedictCarolina Romero Cardoso MachadoPatrícia Yvonne Maciel PinheiroPublished in: Revista do Instituto de Medicina Tropical de Sao Paulo (2023)
Sporotrichosis is the most frequent subcutaneous mycosis in Latin America. It is caused by species of the genus Sporothrix. Infection in humans occurs through the entry of the fungus into the skin. Zoonotic outbreaks involving cats in the transmission of the disease have been frequently reported. The lymphocutaneous form is the most commonly observed and the upper limbs are the most affected sites. We report a case of a 64-year-old healthy female patient with a lymphocutaneous form with rapid progression of lesions, which was refractory to initial treatment with itraconazole. Treatment with liposomal amphotericin B was performed with a satisfactory resolution, but aesthetic and functional sequelae in the left upper limb were installed.