SPOROTRICHOSIS

Clinical Types

A history of minor trauma, e.g. from thorns or splinters, or cat scratches is typical.

Treatment

Consultation with an infectious disease specialist is in order. Saturated solution of potassium iodide remains a first line treatment for uncomplicated cutaneous sporotrichosis in resource-poor countries. Itraconazole is currently recommended for all forms of sporotrichosis, e.g. 200 mg/day x 3-6 months. Terbinafine is effective for cutaneous sporotrichosis. Amphotericin B is used initially for the treatment of severe, systemic disease, during pregnancy and in immunosuppressed patients until recovery, then followed by itraconazole for the rest of the therapy [Dermatol Res Pract. 2014; 2014: 272376].

References

Nice image of lymphangiitic spread up the leg. Dermatol Res Pract. 2014; 2014: 272376


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