Sporotrichosis in a Nutshell
Classical presentation of sporotrichosis contain the following findings:
- Patient who is a gardener/landscaper, or who recently was exposed to decaying plant matter/soil
- Acute development of a single papule that ulcerates
- Odorless, non-purulent drainage
- Subsequent ulcerating papules proximal to the first on the affected extremity
- No systemic symptoms
With this classical picture, the pathogen in question is the dimorphic fungus Sporotrix schenckii, which causes its namesake condition, sporotrichosis. Diagnosis requires aspiration or culture. Treatment is 3 - 6 months of itraconazole.