title: Lymphocutaneous sporotrichosis in an immunocompetent patient: a case report from extreme southern Italy.
abstract: Sporotrichosis is a mycotic infection rarely encountered in European countries, including Italy. We describe lymphocutaneous sporotrichosis in an immunocompetent 64-year-old male Italian mason. The patient had linear nodules along the right upper arm with severe lymphadenopathy in the same arm. Sporothrix schenckii was identified by phenotypic and molecular methods. Treatment with itraconazole and methylprednisolone followed by administration of itraconazole alone successfully cured the infection. To our knowledge, this is the first documented report of sporotrichosis from Calabria and Sicily, extreme southern Italy.
authors.affiliation: Department of Microbiological, Genetic and Molecular Sciences University of Messina, Salita Sperone 31, Messina 98166, Italy. gcriseo@unime.it
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Criseo
authors.forename: Giovanna
authors.initials: G
authors.lastname: Malara
authors.forename: Orazio
authors.initials: O
authors.lastname: Romeo
authors.forename: Antonio
authors.initials: A
authors.lastname: Puglisi Guerra
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007121:Immunocompetence; D007558:Italy / Q000453:epidemiology; D017964:Itraconazole / Q000627:therapeutic use; D008199:Lymphadenitis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012802:Sicily / Q000453:epidemiology; D013175:Sporothrix / Q000145:classification / Q000302:isolation & purification; D013174:Sporotrichosis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole