Cutaneous sporotrichosis in the period 1978–1992 in the province of Bari, Apulia, Southern Italy

Abstract

Summary. The authors report 16 cases of cutaneous sporotrichosis observed in the province of Bari, southern Italy, since 1978. While no more than 55 cases have been documented in other European countries in the last 30 years, in Italy 58 cases (present series included) have been recorded in the same time period. Furthermore, 42 of them (73.7%) originated from Apulia. This unexpectedly high incidence rate in Italy, and in Apulia in particular, provides evidence of the important role played by this area in the eco‐epidemiology of sporotrichosis in Europe. Zusammenfassung. Es werden 16 Sporotrichose Erkrankungen in der Provinz Bari, Süd‐Italien, seit 1978 beschrieben. In den letzten 30 Jahren wurden in anderen Ländern Europas nicht mehr als 55 Fälle beobachtet, in Italien allein dagegen 57 Fälle, die vorliegenden einge‐schlossen, davon 42 (73.7%) in Apulien. Diese unerwartete hohe Häufigkeit in Italien, und besonders in Apulien, unterstreicht die Wichtigkeit dieser Region in der Ökoepidemiologie der Sporotrichose in Europa.

Case series of sporotrichosis at a teaching hospital in Brazil

“…These data support the hypothesis that lesions start from local trauma after the manipulation of objects (farmers) or animal scratches or bites 8,17 . Interestingly, our study demonstrated a significant association between lymphocutaneous form and location in the upper limbs, confirming data found in the literature that suggest dissemination through the lymphatic pathway after the initial injury 11,14,18,19 . In the same way, our study demonstrated an association between the fixed cutaneous form and the lower limb location.…”

“…In the same way, our study demonstrated an association between the fixed cutaneous form and the lower limb location. Few published studies have shown this association, allowing only speculative hypotheses 11,18,19 .…”

Report of 457 sporotrichosis cases from Jilin province, northeast China, a serious endemic region

“…In 457 patients, the fixed cutaneous form was more common (55.14%), which is similar to reports from China 9 . But in many different countries, lymphocutaneous form was the most commonly seen type, 21–26 although some other reports showed equal proportion of the two forms 16–17,27 . Possible causes for the different clinical forms include the size and depth of the inoculums, the genotype of the fungus, 28 and the immune status of the host 18 .…”

Lymphocutaneous Sporotrichosis during Treatment with Anti-TNF-Alpha Monotherapy

“…Sporotrichosis has a higher prevalence in tropical and temperate zones and appears only sporadically in Europe [ 1 ]. In Italy, only 58 cases of cutaneous sporotrichosis have been described until 1992 [ 2 ] and a few others have been added to the literature in the last 20 years. To the best of our knowledge, only two cases of sporotrichosis in inflammatory arthritis patients treated with biologics have been described to date.…”