Zacarias Evelyn, Alves Talita, Bastos Claudilson, Athanazio Paulo, Arruda Sergio
Instituto Gonçalo Moniz - FIOCRUZ, Salvador, BA, Brazil.
Instituto Couto Maia ‒ SESAB, Salvador, BA, Brazil.
Braz J Infect Dis. 2025 Jan-Feb;29(1):104464. doi: 10.1016/j.bjid.2024.104464. Epub 2025 Jan 2.
A 22-year-old woman presented with an ulcer on her right earlobe 2 months ago, with inflammation and enlarged ipsilateral lymph nodes in her neck. She was treated with antibiotics without success and then was referred to an infectious disease specialist. She has a cat at home with sporotrichosis, but without direct contact with the lesion, she did not remember any scratching by the cat. She also mentioned wearing a semi-jewel earring. This is a rare and unusual case of sporotrichosis in the earlobe, probably caused by wearing an earring contaminated by the cat's fungus that was present in the home environment. The delay in diagnosis and treatment led to the worsening of the injury and loss of the earlobe.
两个月前,一名22岁女性右耳垂出现溃疡,颈部同侧有炎症且淋巴结肿大。她接受了抗生素治疗但未见效,随后被转诊至传染病专科医生处。她家中养了一只患有孢子丝菌病的猫,但她没有直接接触过病变部位,也不记得被猫抓伤过。她还提到自己戴着一副半宝石耳环。这是一例罕见的耳垂孢子丝菌病病例,可能是由于佩戴了被家中环境中猫身上的真菌污染的耳环所致。诊断和治疗的延迟导致了伤情恶化,耳垂缺失。