Importance of the direct fresh examination in the diagnosis of cutaneous sporotrichosis

Civila, Eduardo; Bonasse, Julio; Conti‐Díaz, I.A.; Vignale, Raúl

doi:10.1111/j.1365-4632.2004.02271.x

Cited by 30 publications

(24 citation statements)

References 13 publications

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“…Culture of ocular sporotrichosis is known to sometimes be unsuccessful, 1,3,8,9,11,15,16 and the absence of culture results in our case therefore did not rule out the possibility of conjunctival sporotrichosis. The diagnosis of cutaneous sporotrichosis is made on the basis of its cutaneous appearance and pathologic findings 17,18 and culture analyses are not routinely performed. 16 The intradermal sporotrichin test is reported to be almost 100% positive among patients with sporotrichosis with no crossreactivity with other fungal antigens.…”

Section: Discussionmentioning

confidence: 99%

Bulbar Conjunctival Sporotrichosis Presenting as a Salmon-Pink Tumor

Kashima

Honma

Kishi

et al. 2010

Cornea

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Section: Discussionmentioning

confidence: 99%

Bulbar Conjunctival Sporotrichosis Presenting as a Salmon-Pink Tumor

Kashima

Honma

Kishi

et al. 2010

Cornea

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“…Different studies report male predominance [1], [16] or females [1], [6], [8], [17], [18] being more frequently affected. The present study shows a female preponderance (M∶F = 1∶1.27).…”

Section: Discussionmentioning

confidence: 99%

“…Asteroid bodies (Splendore-Hoeppli phenomenon) in pus were originally described by Splendore in 1908 [16]. They consist of a central round cell of 5–13 microns, occasionally budding, surrounded by club-shaped multiple hyaline projections.…”

Section: Discussionmentioning

confidence: 99%

Sporotrichosis in Sub-Himalayan India

Verma

Singh

et al. 2012

PLoS Negl Trop Dis

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Sporotrichosis is endemic in the Sub-Himalayan belt, which ranges from the northern to the north-eastern Indian subcontinent. Similar to many parts of the developing world, sporotrichosis is commonly recognized clinically in this region however consolidated epidemiological data is lacking. We report epidemiological, clinical and microbiological data from a hundred culture positive cases of sporotrichosis. Out of 305 clinically suspicious cases of sporotrichosis, a total of 100 isolates were identified as Sporothrix schenckii species complex ( S. schenckii ) on culture. Out of the culture proven cases 71% of the cases presented with lymphocutaneous type of lesions while 28% had fixed localized type and 1% had disseminated sporotrichosis. Presentation with lesions on hands was most frequently seen in 32% with arm (23%) and face (21%) in that sequence. The male to female ratio was 1∶1.27. Age ranged from 1 ½ years to 88 years. Mean age was 43.25 years. Disease was predominantly seen in the fourth to sixth decade of life with 58% cases between 31 and 60 years of age. Since the first report from the region there has been a steady rise in the number of cases of sporotrichosis. Seasonal trends reveal that most of the patients visited for consultation in the beginning of the year between March and April. This is the first study, from the most endemic region of the Sub-Himalayan belt, to delve into epidemiological and clinical details of such a large number of culture proven cases over a period of more than eighteen years which would help in the understanding of the local disease pattern of sporotrichosis.

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“…Despite having been described on five continents, sporotrichosis has a higher prevalence in tropical and temperate zones. The main areas of endemicity are located in Japan (248), India (156), Mexico (144), Brazil (17,218,222), Uruguay (45,47), and Peru (124). In the United States, especially in the Mississippi Valley, outbreaks related to pine seedlings and manipulation of moss have been cited (185).…”

Section: Geographic Distributionmentioning

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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Importance of the direct fresh examination in the diagnosis of cutaneous sporotrichosis

Abstract: Fastness, simplicity and low cost of the fresh examination lead us to recommend systematic use of the method for primary diagnosis of the disease, mainly at first level public health laboratories.

Cited by 30 publications

References 13 publications

Bulbar Conjunctival Sporotrichosis Presenting as a Salmon-Pink Tumor

Bulbar Conjunctival Sporotrichosis Presenting as a Salmon-Pink Tumor

Sporotrichosis in Sub-Himalayan India

Sporothrix schenckii and Sporotrichosis

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