title: Case report: Sporotrichosis from the Northern Territory of Australia.
abstract: We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported.
authors.affiliation: National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia subedi_82@yahoo.com.
authors.forename: Shradha
authors.initials: S
authors.lastname: Subedi
authors.affiliation: National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Kidd
authors.affiliation: National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Baird
authors.affiliation: National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Coatsworth
authors.affiliation: National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
authors.forename: Anna P
authors.initials: AP
authors.lastname: Ralph
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D015876:Northern Territory; D013174:Sporotrichosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole