A Case of Acute Granulomatous Conjunctivitis Caused by Cat-transmitted Sporothrix schenckii

Abstract

In human, sporotrichosis infection commonly manifests as skin lesions through direct inoculation. It is rarely associated with ocular manifestation via a zoonotic transmission. We describe a young lady who presented with acute left eye granulomatous conjunctivitis who had a history of exposure to her sick cat diagnosed with sporotrichosis infection. Sporothrix schenckii was isolated from the culture of the excised conjunctival tissue. The patient recovered fully after six months of oral anti-fungal treatment. Clinicians should be aware of this new zoonotic infection transmitted by infected felines as it is reversible with timely diagnosis and initiation of anti-fungal therapy.

Keywords: conjunctiva; conjunctivitis; itraconazole; sporothrix schenckii; sporotrichosis.

Figure 1. Granulomatous lesions on lower palpebral conjunctiva

Figure 2. Resolved granulomatous lesion on inferior palpebral conjunctiva