A Diabetic Elderly Man with Finger Ulcer.
10.4082/kjfm.2018.39.2.126
- Author:
Noraini MOHAMAD
1
;
Salziyan BADRIN
;
Wan Noor Hasbee WAN ABDULLAH
Author Information
1. School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia. mnoraini@usm.my
- Publication Type:Case Report
- Keywords:
Sporotrichosis;
Ulcer;
Itraconazole;
Diabetes Mellitus
- MeSH:
Aged*;
Animals;
Biopsy;
Cats;
Diabetes Mellitus;
Diagnosis, Differential;
Fingers*;
Humans;
Itraconazole;
Prevalence;
Skin;
Sporothrix;
Sporotrichosis;
Ulcer*
- From:Korean Journal of Family Medicine
2018;39(2):126-129
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised status. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.
