RESUMEN
Background. Sporotrichosis is a subacute or chronic mycosis acquired by traumatic inoculation or inhalation of fungal conidia. It is caused by the dimorphic fungus Sporothrix, which causes different clinical presentations, being the cutaneous and lymphocutaneous variants being the most frequent. The disseminated cutaneous form is a rare presentation occurring in a minority of cases in Mexico. Case report. We report an atypical case of disseminated sporotrichosis in an alcoholic and iatrogenically immunosuppressed patient, whose clinical lesions resembled tumoral-stage mycosis fungoides. Histological examination and culture revealed the presence of Sporothrix schenckii. Conclusions. The patient was treated with itraconazole 200 mg per day for 4 months with clinical resolution. To the best of our knowledge, this is the first report of this type of clinical manifestation (AU)
Antecedentes. La esporotricosis es una micosis subaguda o crónica adquirida por inoculación traumática o inhalación de conidias fúngicas. Está causada por el hongo dimórfico Sporothrix, y puede presentar distintas manifestaciones clínicas, si bien las variantes linfocutánea y cutánea son las más frecuentes. La forma cutánea diseminada es una presentación infrecuente que se ha observado en una minoría de casos en México. Caso clínico. Informamos de un caso atípico de esporotricosis diseminada en un paciente alcohólico y con inmunosupresión iatrogénica, cuyas lesiones se asemejaban a una micosis fungoide en fase tumoral. La observación histológica y el cultivo demostraron la presencia de Sporothrix schenckii. Conclusiones. El paciente fue tratado con 200 mg de itraconazol diarios durante 4 meses con resolución clínica. Este es el primer informe en relación con esta manifestación clínica (AU)
Asunto(s)
Anciano , Humanos , Masculino , Micosis Fungoide/diagnóstico , Esporotricosis/diagnóstico , Sporothrix/aislamiento & purificación , Diagnóstico Diferencial , Itraconazol/uso terapéutico , Huésped InmunocomprometidoRESUMEN
BACKGROUND: Sporotrichosis is a subacute or chronic mycosis acquired by traumatic inoculation or inhalation of fungal conidia. It is caused by the dimorphic fungus Sporothrix, which causes different clinical presentations, being the cutaneous and lymphocutaneous variants being the most frequent. The disseminated cutaneous form is a rare presentation occurring in a minority of cases in Mexico. CASE REPORT: We report an atypical case of disseminated sporotrichosis in an alcoholic and iatrogenically immunosuppressed patient, whose clinical lesions resembled tumoral-stage mycosis fungoides. Histological examination and culture revealed the presence of Sporothrix schenckii. CONCLUSIONS: The patient was treated with itraconazole 200mg per day for 4 months with clinical resolution. To the best of our knowledge, this is the first report of this type of clinical manifestation.