Department of Pediatric Dermatology; Hospital Nacional Profesor Alejandro Posadas, El Palomar, Argentina.
Department of Dermatology; Hospital Nacional Profesor Alejandro Posadas, El Palomar, Argentina.
Arch Argent Pediatr. 2024 Dec 1;122(6):e202310169. doi: 10.5546/aap.2023-10169.eng. Epub 2024 Jun 6.
Sporotrichosis is a subacute to chronic subcutaneous mycosis caused by dimorphic fungi of the Sporothrix spp. complex. It is considered the most frequent subcutaneous mycosis in Latin America and predominates in tropical areas. In Argentina, its prevalence is estimated at 0.01-0.02%. In half of the patients, it manifests as lymphocutaneous sporotrichosis. Infection results from the agent's inoculation on the skin or mucous membrane by trauma with contaminated plants. There are also cases of zoonotic transmission by contact with animals, such as armadillos, birds, rats, horses, fish, mosquitoes, and cats. Here we describe the case of a 14-year-old female patient who consulted due to nodular lymphangitic syndrome for two months and, given the lack of response to multiple antibiotic regimens, a biopsy was performed and a culture of the lesion was done, which confirmed the diagnosis of lymphocutaneous sporotrichosis.
孢子丝菌病是一种由申克孢子丝菌复合体中的双相真菌引起的亚急性至慢性皮下真菌病。它被认为是拉丁美洲最常见的皮下真菌病,主要发生在热带地区。在阿根廷,其患病率估计为 0.01-0.02%。在一半的患者中,它表现为淋巴管性孢子丝菌病。感染是通过带有污染植物的创伤将病原体接种到皮肤或粘膜而引起的。也有通过与动物(如犰狳、鸟类、老鼠、马、鱼、蚊子和猫)接触发生动物源性传播的病例。在这里,我们描述了一例 14 岁女性患者的病例,她因结节性淋巴管炎综合征就诊两个月,由于多种抗生素方案均无反应,因此进行了活检和病变培养,这证实了淋巴管性孢子丝菌病的诊断。