Two Cases of Fixed Cutaneous Sporotrichosis.
- Author:
Yong Hwan LEE
1
;
Soo Ho KIM
;
Moo Kyu SUH
;
Gyoung Yim HA
;
Jung Ran KIM
Author Information
1. Department of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea. smg@dongguk.ac.kr
- Publication Type:Case Report
- Keywords:
Fixed cutaneous sporotrichosis
- MeSH:
Administration, Oral;
Agar;
Arm;
Biopsy;
Cheek;
Child;
Communicable Diseases;
Glucose;
Humans;
Hyperplasia;
Inflammation;
Itraconazole;
Male;
Middle Aged;
Potassium Iodide;
Recurrence;
Skin;
Sporotrichosis*
- From:Korean Journal of Medical Mycology
2006;11(3):154-158
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sporotrichosis is a chronic infectious disease caused by Sporothrix(S.) schenckii. Regional lymphatic sporotrichosis is common type, accounting for 75% of the cases. But fixed cutaneous sporotrichosis is seen in 20% of cases. We report two cases of fixed cutaneous sporotrichosis in a 48-year-old man and 8-year-old boy. The lesions were manifested by erythematous plaques on right arm and left cheek, respectively. The fungal culture from biopsy specimen on Sabouraud's dextrose agar showed dark brown to black, moist and wrinkled colonies of S. schenckii. Histopathologically, pseudoepitheliomatous hyperplasia and chronic granulomatous inflammation were observed on H & E stain. The patients were treated with surgical excision of lesion & oral administration of 30 drops of saturated solution of potassium iodide three times a day and 100 mg of itraconazole daily for 3 months, respectively. Skin lesions were completely cured and recurrence is not observed to date.