Bilateral Thumb Lymphocutaneous Sporotrichosis
https://doi.org/10.47836/mjmhs.19.3.52
- Author:
Suhaiza Samsudin
1
;
Zuliyasmin Zulkifli
1
Author Information
1. Department of Family Medicine, Kulliyah of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
- Publication Type:Case Reports
- Keywords:
Sporotrichosis, Lymphocutaneous, Itraconazole, Cats
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.3):393-395
- CountryMalaysia
- Language:English
-
Abstract:
Sporotrichosis is a fungal infection caused by Sporothrix, a thermally dimorphic fungus that affects humans and animals. It is most commonly associated with cutaneous and subcutaneous tissue exposed to fungus-containing soil,
moss, or organic material. Sporotrichosis is challenging to diagnose because it can mimic various other dermatological diseases. Thus, as demonstrated in this case, the importance of making a diagnosis based on history and a
thorough physical examination, as misdiagnosis can delay proper treatment. A 53-year-old Malay woman presented
with bilateral thumb swelling that had been treated with two courses of antibiotics but had failed, resulting in disease
progression. Clinical suspicion of lymphocutaneous sporotrichosis was made based on history, physical examination, and investigations finding. The patient was started on an empirical course of Itraconazole 200mg twice daily,
and the lesions responded well.
- Full text:11.2023my1552.pdf