Neonatal sporotrichosis.
Sporotrichosis is caused by the dimorphic fungus, Sporothrix schenckii. Classically, infection occurs after implantation of the organism into the skin by abrasion of a puncture wound by contaminated thorns, hay, or sphagnum moss. Cats are also a commonly recognized source of sporotrichosis. In children, fixed cutaneous lesions are more common than lymphocutaneous lesions, and the face is a frequent location for infection. We present a neonate with a fixed cutaneous facial lesion and both pre-auricular and cervical lymphadenopathy who developed signs of infection at 3 weeks of age. This patient is currently the youngest reported case of sporotrichosis in the literature. The patient's family denied any trauma and denied contact with flowers, gardens, and cats; thus, the source of infection remains unknown.
Department of Dermatology, New York University Langone Medical Center, New York, New York 10016, USA. brook.tlougan@gmail.com
Brook E
BE
Tlougan
Joshua O
JO
Podjasek
Sapna P
SP
Patel
Xuan H
XH
Nguyen
Ronald C
RC
Hansen
D000666:Amphotericin B / Q000008:administration & dosage*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage*; D002443:Ceftriaxone / Q000008:administration & dosage; D005546:Forehead; D006801:Humans; D007223:Infant; D008297:Male; D016868:Serratia Infections / Q000175:diagnosis / Q000188:drug therapy; D012706:Serratia marcescens; D013175:Sporothrix / Q000302:isolation & purification*; D013174:Sporotrichosis / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D015163:Superinfection / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; D002443:Ceftriaxone; D000666:Amphotericin B