title: A rose by any other name.
abstract: A 40-year-old man visited Haiti in the winter. His visit was uneventful, and he went swimming in the ocean. A week after his return he developed a small "pimple" on his right fifth finger. This condition progressed for several weeks, with new lesions developing over the extensor surface of his forearm and in the antecubital fossa. He had tender axillary adenopathy. The patient started a new job when he returned from Haiti, working 4 days per week in a greenhouse. He denied any fever, chills, or night sweats. He was in good health without any underlying chronic health problems. Physical examination revealed a small eschar over the distal phalanx of the patient's right fifth finger (Figure 1). There were 2 erythematous nodules over the extensor surface of his right forearm (Figure 2) as well as over the antecubital fossa (Figure 3). A punch biopsy was performed and results showed suppurative granulomatous dermatitis. Sporothrix schenckii was grown from the specimen.
authors.affiliation: Wright State University School of Medicine, 4100 West Third Street, Dayton, OH 45428, USA.
authors.forename: Jodie
authors.initials: J
authors.lastname: Engle
authors.forename: Janice
authors.initials: J
authors.lastname: Desir
authors.forename: Jack M
authors.initials: JM
authors.lastname: Bernstein
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005385:Fingers / Q000473:pathology; D005542:Forearm / Q000473:pathology; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D013174:Sporotrichosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole