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. 2021 Jul 8;8(7):ofab332.
doi: 10.1093/ofid/ofab332. eCollection 2021 Jul.

A Disfiguring Rash

Andrea I Zambrano  1 , Elizabeth C Church  1 , Kenneth M McKay  2 , Stephanie K Carnes  3 , Ryan J Morse  3 , Thellea K Leveque  2 , Alison C Roxby  1
Affiliations

A Disfiguring Rash

Andrea I Zambrano et al. Open Forum Infect Dis. .

Abstract

Patients with rheumatologic conditions can have complex dermatologic manifestations. In addition, immunosuppressing treatment for autoimmune disorders can also increase incidence of infectious complications. Skin conditions in rheumatologic patients present particular challenges and this case highlights a rare infectious complication.

Keywords: Sporothrix; fungal infection; skin rash; sporotrichosis.

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Figures

Figure 1.
Figure 1.
Initial disseminated lesions. A, Right hand lesions. B, Facial lesions. C, Left arm lesions. Photos show deep ulcerative lesions with irregular borders (A and B) and flatter lesions with scaling and irregular borders (C).
Figure 2.
Figure 2.
Microbiology slides. A, Findings from tissue culture lactophenol cotton blue prep for mold showing “rosette-like” clusters of sessile conidia [18, 19]. B, Peripheral blood culture showing microconidia on gram stain with original magnification ×100. Photo credit: Ryan Morse, MD, University of Washington, Department of Pathology and Laboratory Medicine.
Figure 3.
Figure 3.
Disseminated lesions at 7 days and 2 months after treatment. A and B, Skin lesions at 7 days after starting treatment. C–F, Skin lesions after 2 months of treatment.
See this image and copyright information in PMC

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