[Simultaneous bilateral lymphangitic sporotrichosis].
BACKGROUND
Sporotrichosis is the most frequent subcutaneous mycoses in Jalisco, Mexico. The forms of transmission described in the literature are from bites of different animals and injuries due to utensils.


OBJECTIVE
To present an unusual case with bilateral and lymphangitic cutaneous lesions in the upper limbs caused by a pocket gopher bite (Geomys bursarius).


METHODS
Mycology studies were performed on the arm lesions, including Gram and Ziehl Neelsen stains, direct exam, Sabouraud and mycobiotic cultures at temperatures of 25-28 degrees C.


RESULTS
Gram and Ziehl Neelsen stains were negative. Sporothrix schenckii grew in the culture plates. Treatment with saturated potassium iodide solution was prescribed and four months later complete remissions of the lesions were achieved, and the control cultures were negative.


CONCLUSIONS
The most common clinical presentations of sporotrichosis are the fixed and lymphangitic forms. Bilateral lymphangitic sporotrichosis is rare.
Barba Borrego
José Antonio
JA
Instituto Dermatológico de Jalisco "Dr. José Barba Rubio", Centro de Referencia en Micología Médica, CEREMI, México.
Mayorga
Jorge
J
Tarango-Martínez
Víctor Manuel
VM
D000818:Animals; D000829:Animals, Domestic / Q000382:microbiology; D001733:Bites and Stings / Q000150:complications* / Q000382:microbiology; D002648:Child; D003937:Diagnosis, Differential; D046348:Gophers / Q000382:microbiology*; D006229:Hand Dermatoses / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology* / Q000473:pathology; D006230:Hand Injuries / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008205:Lymphangitis / Q000209:etiology* / Q000473:pathology; D008297:Male; D013174:Sporotrichosis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000635:transmission; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis; D014946:Wound Infection / Q000382:microbiology*