Sporotrichosis mimicking cellulitis

  • Gul Karagoz Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey
  • Ayten Kadanali Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey
  • Senol Comoglu Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey
  • Nur Betul Unal Ozdemir Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey
  • Arzu Irvem Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey
Keywords: Cellulitis, chronic wound, sporotrichosis

Abstract

Sporotrichosis is a cutaneous or systemic fungal infection caused by Sporothrix schenckii. The infection is characterized by nodular, pustular, or ulcerative lesions. The infection usually occurs after traumatic implantation of the fungus into the skin. We report a case presenting the first cellulitis and later on as a non-healing ulcer which was diagnosed by punch biopsy as sporotrichosis and managed successfully with itraconazole. A 56-yearold woman admitted to our department with complaint acute onset of swelling of the right lower-extremity with erythema and warmth. The patient was diagnosed initially as cellulitis and started on ampicillin-sulbactam. A diagnosis of sporotrichosis was made with histological examination skin biopsy, and the patient was started on itraconazole. 1 month after commencement of antifungal treatment, the ulcer began to dry up and at 3 months the lesions had healed. This case shows that if a wound does not respond to antibiotics in cases with the ulcer; some rare etiological agents should be considered.

Author Biographies

Gul Karagoz, Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Ayten Kadanali, Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Senol Comoglu, Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Nur Betul Unal Ozdemir, Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Arzu Irvem, Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Department of Infectious Diseases, Umraniye Training and Research Hospital, Istanbul, Turkey

Swelling, erythema and bullae
Published
2016-09-30
How to Cite
Karagoz, G., Kadanali, A., Comoglu, S., Unal Ozdemir, N. B., & Irvem, A. (2016). Sporotrichosis mimicking cellulitis. Disease and Molecular Medicine, 4(3), 34-36. https://doi.org/10.5455/dmm.20160621014443
Section
Case Report