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 Infectious Diseases

Sporotrichosis

Sporotrichosis

Sporotrichosis on the hand and arm
Sporotrichosis on the hand and arm
Sporotrichosis on the arm
Sporotrichosis on the arm
Sporotrichosis on the forearm
Sporotrichosis on the forearm

Definition:

Sporotrichosis is a long-term (chronic) skin infection due to a certain fungus.

Causes, incidence, and risk factors:

Sporotrichosis is caused by the fungus Sporothrix schenckii, which is found in vegetation. Infection commonly occurs when the skin is broken while handling plant materials such as rosebushes, briars, or mulch-rich dirt.

Sporotrichosis can be an occupational disease (for farmers, horticulturists, rose gardeners, plant nursery workers). Widespread (disseminated) sporotrichosis can develop in immunocompromised people when they inhale spore-laden dust.

Symptoms include a small, painless, red lump that develops at the site of infection and ultimately develops into an ulcer. Lesions are often on the hands and forearm, as these areas are a common site of injury.

The organism follows the lymph flow causing small ulcers to appear in lines on the skin as the infection progresses up the arm (or leg). These lesions do not heal unless treated and may remain ulcerated for years.

Systemic sporotrichosis can cause lung and breathing problems, osteomyelitis, arthritis, and meningitis.

Symptoms:
  • Small, painless, red lump that develops at site of a recent injury (up to 3 months following injury).
  • A progressive line of ulcers leading away from the initial ulcer.
Signs and tests:

A physical examination reveals the typical lesions. A culture of biopsied tissue that demonstrates Sporothrix schenckii confirms the diagnosis.


Review Date: 9/25/2006
Reviewed By: Charlotte Grayson, MD, Private Practice specializing in Internal Medicine and Infectious Disease, Smyrna, GA. Review provided by VeriMed Healthcare Network.

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