Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment

Sporotrichosis is a fungal infection endemic in Latin America and has been attributed to the thermodimorphic fungus of the genus Sporothrix. Transmission to humans occurs during a traumatic injury with soil or organic material; additionally, lesions caused by infected cats play an important role in...

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Main Authors: Walter Belda, Luiz Felipe Domingues Passero, Ana Thereza Stradioto Casolato
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2021/9453701
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author Walter Belda
Luiz Felipe Domingues Passero
Ana Thereza Stradioto Casolato
author_facet Walter Belda
Luiz Felipe Domingues Passero
Ana Thereza Stradioto Casolato
author_sort Walter Belda
collection DOAJ
description Sporotrichosis is a fungal infection endemic in Latin America and has been attributed to the thermodimorphic fungus of the genus Sporothrix. Transmission to humans occurs during a traumatic injury with soil or organic material; additionally, lesions caused by infected cats play an important role in the epidemiology of the disease. The classic treatment of sporotrichosis is performed with itraconazole or potassium iodide; second-line medications, such as amphotericin B and terbinafine, can alternatively be used in cases of first-line drug failure. In the present study, a patient with lymphocutaneous sporotrichosis in the right upper limb exhibited intolerance to itraconazole and potassium iodide, additionally during the period of use; these drugs did not control skin lesions. In this patient, amphotericin B deoxycholate and its liposomal version were used in this patient; and complete recovery of the lesions was observed.
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series Case Reports in Dermatological Medicine
spelling doaj-art-3f4b75984dfd47a581dedef617d419f62025-02-03T01:27:19ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712021-01-01202110.1155/2021/94537019453701Lymphocutaneous Sporotrichosis Refractory to First-Line TreatmentWalter Belda0Luiz Felipe Domingues Passero1Ana Thereza Stradioto Casolato2Dermatology Department, University of São Paulo, Medical School, Clinics Hospital, São Paulo, BrazilSão Paulo State University (UNESP), Institute of Biosciences, São Vicente, Presidente Prudente, BrazilDermatology Department, University of São Paulo, Medical School, Clinics Hospital, São Paulo, BrazilSporotrichosis is a fungal infection endemic in Latin America and has been attributed to the thermodimorphic fungus of the genus Sporothrix. Transmission to humans occurs during a traumatic injury with soil or organic material; additionally, lesions caused by infected cats play an important role in the epidemiology of the disease. The classic treatment of sporotrichosis is performed with itraconazole or potassium iodide; second-line medications, such as amphotericin B and terbinafine, can alternatively be used in cases of first-line drug failure. In the present study, a patient with lymphocutaneous sporotrichosis in the right upper limb exhibited intolerance to itraconazole and potassium iodide, additionally during the period of use; these drugs did not control skin lesions. In this patient, amphotericin B deoxycholate and its liposomal version were used in this patient; and complete recovery of the lesions was observed.http://dx.doi.org/10.1155/2021/9453701
spellingShingle Walter Belda
Luiz Felipe Domingues Passero
Ana Thereza Stradioto Casolato
Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment
Case Reports in Dermatological Medicine
title Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment
title_full Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment
title_fullStr Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment
title_full_unstemmed Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment
title_short Lymphocutaneous Sporotrichosis Refractory to First-Line Treatment
title_sort lymphocutaneous sporotrichosis refractory to first line treatment
url http://dx.doi.org/10.1155/2021/9453701
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