Sporotrichosis - Sporothrix schenckii - Diagnosis and Management Summary

Sources: 

 • Landscaping, Christmas tree farming, Rose gardening, Topiary production

 • Zoonotic transmission from cats (rare)

Diagnosis:

 • Culture is the gold standard

 • Histopathologic mixed granulomatous / pyogenic process

 • PCR not available commercially

 • Serology is not used

Sporotrichosis Syndromes:

 • Lymphocutaneous Sporotrichosis - Most common form. Days-weeks. Similar lesions along lymphatic channels.

 • Pulmonary Sporotrichosis - Symptoms, CXR mimic TB +/- dissemination to skin. If untreated progresses to death

 • Osteoarticular Sporotrichosis - Uncommon manifestation. More frequently in alcoholics. Hematogenous spread.

 • Meningeal Sporotrichosis - Rare manifestation. Weeks-months. Lymphoma or AIDS. CSF similar to TB or cryptococcus 

 • Disseminated Sporotrichosis - Very uncommon - AIDS patients.



By @TheIDtrivia



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