Bulbar Conjunctival Sporotrichosis Presenting as a Salmon-Pink Tumor

Kashima, Tomoyuki; Honma, Rika; Kishi, Shoji; Hirato, Junko

doi:10.1097/ico.0b013e3181ba7039

Cited by 26 publications

(15 citation statements)

References 20 publications

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“…This reaction is usually positive in about 90% of confirmed sporotrichosis cases but can also indicate previous infection with the fungus (105). The sporotrichin skin test has been successfully applied to confirm the diagnosis of bulbar conjunctival sporotrichosis after the pathological examination revealed yeast-like cells (113).…”

Section: Sporotrichin Skin Testmentioning

confidence: 99%

Sporothrix schenckii and Sporotrichosis

Barros

Paes²,

Schubach³

2011

Clin Microbiol Rev

531

677

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SUMMARY Sporotrichosis, which is caused by the dimorphic fungus Sporothrix schenckii , is currently distributed throughout the world, especially in tropical and subtropical zones. Infection generally occurs by traumatic inoculation of soil, plants, and organic matter contaminated with the fungus. Certain leisure and occupational activities, such as floriculture, agriculture, mining, and wood exploitation, are traditionally associated with the mycosis. Zoonotic transmission has been described in isolated cases or in small outbreaks. Since the end of the 1990s there has been an epidemic of sporotrichosis associated with transmission by cats in Rio de Janeiro, Brazil. More than 2,000 human cases and 3,000 animal cases have been reported. In humans, the lesions are usually restricted to the skin, subcutaneous cellular tissue, and adjacent lymphatic vessels. In cats, the disease can evolve with severe clinical manifestations and frequent systemic involvement. The gold standard for sporotrichosis diagnosis is culture. However, serological, histopathological, and molecular approaches have been recently adopted as auxiliary tools for the diagnosis of this mycotic infection. The first-choice treatment for both humans and cats is itraconazole.

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Section: Sporotrichin Skin Testmentioning

confidence: 99%

Sporothrix schenckii and Sporotrichosis

Barros

Paes²,

Schubach³

2011

Clin Microbiol Rev

531

677

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“…Although less reported, conjunctival sporotrichosis can be seen in some cases. [ 7 – 9 ] Different from other reported cases of conjunctival sporotrichosis, our patient first presented with a nodule near the medial angle of the left eye and bilateral conjunctival injection. We considered that her bilateral conjunctivae might be contaminated through any one of the following transmission channels: the fungus was transmitted from the nodule to the bulbar conjunctivae during the CL handling, which in turn contaminated the lens solution; or the fungus in the dacryocyst travelled retrograde to the conjunctivae along the lacrimal duct, then contaminated the CLs and lens solution during the CL handling.…”

Section: Discussionmentioning

confidence: 87%

Dacryocystitis due to sporothrix inoculated vis an unusual mode

Sun

Dong

Wang³

et al. 2018

Medicine

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Rationale:Sporotrichosis is the most common subcutaneous mycosis. It is caused by the dimorphic fungus Sporothrix schenckii. Ocular sporotrichosis is uncommon and has been rarely reported.Patient concerns:We describe a 34-year-old female who presented with a nodule increasing in size near the medial angle of the left eye. Originally, she was misdiagnosed with a dacryocyst space-occupying lesion, and the lesion was removed by surgery.Diagnoses:Findings of fungal structures in the histopathological examination contributed to the diagnosis of Sporothrix dacryocystitis. Further culture of conjunctival secretions and contact lens storage solution was positive for Sporothrix.Interventions:She was treated with oral itraconazole, 200 mg by mouth twice daily.Outcomes:After 3 months of treatment with oral itraconazole, culture of the conjunctival secretions was negative.Lessons:It is of paramount importance to clinically suspect mycosis, even in unusual locations or in the absence of the typical epidemiological history.

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“…One caused by dimorphic fungus Sporotrichum schenckii was reported in Japan with the diagnosis made for histological study, over bulbar conjunctiva and with a good response to topical fluconazole and oral potassium-iodine [15]. In Mexico, we attended one case culture proved, in 19-year-old female patient, the infection was located in inferior tarsal conjunctiva in right eye and external angle, with a 4 mm by 3 mm zone of granular tissue over the conjunctiva and edema around; the granular conjunctivitis started two months before being attended, preauricular enlargement of lymph node, and no systemic involvement was observed in her first consultation.…”

Section: Resultsmentioning

confidence: 99%

Support of the Laboratory in the Diagnosis of Fungal Ocular Infections

Zago

Castro

Tackman

2012

International Journal of Inflammation

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This is a retrospective, and descriptive study about the support that the laboratory of microbiology aids can provide in the diagnosis of ocular infections in patients whom were attended a tertiary-care hospital in México City in a 10-year-time period. We describe the microbiological diagnosis in palpebral mycose; in keratitis caused by Fusarium, Aspergillus, Candida, and melanized fungi; endophthalmitis; one Histoplasma scleritis and one mucormycosis. Nowadays, ocular fungal infections are more often diagnosed, because there is more clinical suspicion and there are easy laboratory confirmations. Correct diagnosis is important because an early medical treatment gives a better prognosis for visual acuity. In some cases, fungal infections are misdiagnosed and the antifungal treatment is delayed.

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Bulbar Conjunctival Sporotrichosis Presenting as a Salmon-Pink Tumor

Abstract: This is the first report of bulbar conjunctival sporotrichosis with a salmon-pink conjunctival tumor. Although rare, ophthalmologists should be aware of this entity during examination of patients with intractable conjunctival injection.

Cited by 26 publications

References 20 publications

Sporothrix schenckii and Sporotrichosis

Sporothrix schenckii and Sporotrichosis

Dacryocystitis due to sporothrix inoculated vis an unusual mode

Support of the Laboratory in the Diagnosis of Fungal Ocular Infections

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