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Case Reports
. 2022 Dec 5;10(12):e6708.
doi: 10.1002/ccr3.6708. eCollection 2022 Dec.

Sporotrichoid lymphocutaneous pattern in a fish-merchant under immunosuppressant medications: Clues to differential diagnoses

Dhan Keshar Khadka  1 , Ripala Acharya  1 , Sudha Agrawal  1
Affiliations
Case Reports

Sporotrichoid lymphocutaneous pattern in a fish-merchant under immunosuppressant medications: Clues to differential diagnoses

Dhan Keshar Khadka et al. Clin Case Rep. .

Abstract

Sporotrichoid-lymphocutaneous-pattern is classically seen in sporotrichosis, though also present in other infections like atypical mycobacteriosis and leishmaniasis. Cutaneous atypical mycobacterial infection presents as localized lesions in immunocompetent and is widespread in immunosuppressed patients. Here, we present a case of sporotrichoid-lymphocutaneous infection due to atypical mycobacteria, in a fish-seller under immunosuppressants.

Keywords: Mycobacterium marinum; Sporotrichoid; atypical mycobacterium; lymphocutaneous pattern.

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Conflict of interest statement

The authors have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
(A, B) Initial presentation with multiple erythematous nodules in sporotrichoid lymphocutaneous pattern in left hand and forearm
FIGURE 2
FIGURE 2
Complete resolution of lesions at 6 months of Clarithromycin, ethambutol and doxycycline
FIGURE 3
FIGURE 3
Diagnostic approach in nodular lymphangitis
See this image and copyright information in PMC

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