“…The crawling exercise in soil with decaying vegetation, performed by our patient 2 prior to the onset of the bilateral lymphocutaneous lesions, suggests that there has been simultaneous multiple inoculations of the fungus into the dermis through microtrauma by plant material, since this is the natural habitat of Sporothrix sp., similar to that reported by other authors 7,8 . The bilateral presentation of sporotrichosis is described as atypical and rare, although it have already been reported in children by zoonotic transmission 9 or by trauma with plants in adults 7,8 . Differential diagnosis of this clinical presentation of sporotrichosis include cutaneous tuberculosis, atypical mycobacterial infection, prurigo, nocardiosis, and cutaneous leishmaniasis in its sporothrichosis-like clinical form 1,7 .…”