[Atypical cutaneous sporotrichosis. The response to itraconazole and surgery].
Sporotrichosis is a subcutaneous (rarely extracutaneous) fungal disease caused by Sporothrix schenckii. Cutaneous sporotrichosis has two well-defined forms: lymphocutaneous and stable. In lymphocutaneous sporotrichosis, lesions arise along lymphatic vessels, generally in limbs. The stable form is rarer and consists of a single, generally facial, lesion. We report the case of a 70-year-old male farmer with a single lesion on the right nostril that had been removed repeatedly. After 5 years, new, linearly distributed lesions appeared. Fungal cultures of biopsy tissues revealed S. schenckii. The evolution and response to treatment with itraconazole, potassium iodide, terbinafine, and surgery is discussed.
Peña
C
C
Servicio de Dermatología, Complexo Hospitalario Juan Canalejo, La Coruña, España.
García-Silva
J
J
Varela
J
J
Ardavín
M
M
Pereiro
M
M
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004431:Ear, External; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use*; D008046:Lip; D008297:Male; D009666:Nose; D012008:Recurrence; D013174:Sporotrichosis / Q000188:drug therapy* / Q000601:surgery*
D000935:Antifungal Agents; D017964:Itraconazole