Cotino Sánchez A, Torres-Alvarez B, Gurrola Morales T, Méndez Martínez S, Saucedo Gárate M, Castanedo-Cazares JP. Mycosis fungoides-like lesions in a patient with diffuse cutaneous sporotrichosis.
Rev Iberoam Micol 2015;
32:200-3. [PMID:
25620646 DOI:
10.1016/j.riam.2014.06.009]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Revised: 04/22/2014] [Accepted: 06/26/2014] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND
Sporotrichosis is a subacute or chronic mycosis acquired by traumatic inoculation or inhalation of fungal conidia. It is caused by the dimorphic fungus Sporothrix, which causes different clinical presentations, being the cutaneous and lymphocutaneous variants being the most frequent. The disseminated cutaneous form is a rare presentation occurring in a minority of cases in Mexico.
CASE REPORT
We report an atypical case of disseminated sporotrichosis in an alcoholic and iatrogenically immunosuppressed patient, whose clinical lesions resembled tumoral-stage mycosis fungoides. Histological examination and culture revealed the presence of Sporothrix schenckii.
CONCLUSIONS
The patient was treated with itraconazole 200mg per day for 4 months with clinical resolution. To the best of our knowledge, this is the first report of this type of clinical manifestation.
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