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Case Reports
. 2021 Mar 26:32:50-52.
doi: 10.1016/j.mmcr.2021.03.007. eCollection 2021 Jun.

Osteoarticular sporotrichosis in an immunocompetent patient

Fandresena Arilala Sendrasoa  1 , Irina Mamisoa Ranaivo  1 , Moril Sata  1 , Naina Harinjara Razanakoto  1 , Malalaniaina Andrianarison  1 , Volatantely Ratovonjanahary  1 , Onivola Raharolahy  1 , Mendrika Rakotoarisaona  1 , Tahinamandranto Rasamoelina  2 , Mala Rakoto Andrianarivelo  2 , Lala Soavina Ramarozatovo  1 , Fahafahantsoa Rapelanoro Rabenja  1
Affiliations
Case Reports

Osteoarticular sporotrichosis in an immunocompetent patient

Fandresena Arilala Sendrasoa et al. Med Mycol Case Rep. .

Abstract

Sporotrichosis is a frequent subcutaneous mycosis in Madagascar. Extracutaenous forms are exceptional and are usually seen in immunosuppressed hosts. We report a case of an aggressive clinical evolution of lymphocutaneous sporotrichosis with osteoarticular involvement in an immunocompetent patient. Therapy with oral itraconazole 200 mg twice daily for 12 months improved the lesion. Early diagnosis of Sporothrix schenkii infection is critical to prevent complications including osteoarticular involvement, disseminated forms and death.

Keywords: Involvement; Osteoarticular; Sporothrix shenckii; Sporotrichosis.

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Conflict of interest statement

The authors declare that no competing interests exist.

Figures

Fig. 1a
Fig. 1a
Multiple plaques along lymphatic channels on the patient's left leg.
Fig. 1b
Fig. 1b
Crusted ulcer area on the left popliteal fossa.
Fig. 2
Fig. 2
PAS stain from skin biopsy showing budding yeast.
Fig. 3
Fig. 3
Diffuse joint space narrowing.
Fig. 4
Fig. 4
Dark colonies on Sabouraud dextrose agar.
Fig. 5
Fig. 5
Delicate hyphae with clusters of pyriform conidia on microscopic examination.
See this image and copyright information in PMC

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