Cutaneous sporotrichosis as an occupational disease: Case report

Fixed cutaneous sporotrichosis

“…Sporotrichosis is dispersed worldwide and more prevalent in tropical and subtropical areas, with the highest prevalence in Central and South America, Africa and Japan [1,3,4]. Sporotrichosis is caused by a complex group of dimorphic fungus species called Sporothrix [1,[5][6][7], the major species includes Sporothrix brasiliensis, S. schenckii, S. globosa and S. albicans and S. mexicana [8][9][10][11]. Sporothrix is present on the natural environment in soil, dead wood (Splinter and thorns favor the growth), mosses and cornstalks [12].…”

“…Sporothrix is present on the natural environment in soil, dead wood (Splinter and thorns favor the growth), mosses and cornstalks [12]. But has never been observed as plant pathogen, probably due to the antifungal activity of plants [10].…”

“…Several factors such as host immunity, virulence of the inoculated strain and the depth of traumatic inoculation may determinate the different types of presentation [3]. Conventionally, three clinical forms are described: 1) Fixed Cutaneous (nodulopapular, ulcerative, verrucouse and furunculoide) [10,11], 2) Lympho-Cutaneous (most commonly) and 3) Disseminated [1,5].…”

“…Fixed cutaneous variety of sporotrichosis remains localized and is less common than the lymphocutaneous type [5,6]. Clinically, initial lesion develops at the site of skin inoculation [10], commonly on the face region in children and on the arms in adults [14]. This form usually presents a single and painless infiltrated, erythematous or violaceous plaque that may become ulcerated or verrucous without lymphatic involvement [2,6].…”

“…Pulmonary sporotrichosis displays a form radiographically indistinguishable from tuberculosis and histoplasmosis in patients with sever underlying chronic obstructive pulmonary disease. Osteoarticular sporotrichosis result from the direct inoculation or hematogenous dissemination, with involvement of multiple visceral organs, this occurs almost exclusively in persons with AIDS [10].…”