Primary pulmonary sporotrichosis in a sub-Himalayan patient

Abstract

Primary pulmonary sporotrichosis, a rare fungal disease was found in chronic alcoholic farmer from the sub-Himalayan region, an endemic mycoses area. Primary pulmonary sporotrichosis is a hidden entity, at times mimicking tuberculosis, and often under or lately diagnosed due to lack of awareness. We should consider the possibility of pulmonary sporotrichosis in patients with chronic cough and cavitary parenchymal disease, particularly in chronic alcoholics, gardeners, and forest workers. Sputum culture for fungus as a part of diagnostic studies is needed especially in endemic mycoses areas for early detection and management of such fungal diseases.

Keywords: Alcoholism; chronic cough; primary pulmonary sporotrichosis.

Figure 1

CT scan shows single thin-walled cavity in the lower-left lobe.

Figure 2

(a) KOH preparation of sputum shows fungal elements. (b) LCB mount of sputum culture shows septate hyphae with many pear-shaped to almost round conidia and forming rosette (arrow) on delicate sterigmata at 25°C.