Friday, April 10, 2009

By Any Other Name

A 40 year old rose gardener presents with the thumb shown above. He says there's been no purulent drainage and no odor. You note a red streak up his arm. His pain isn't too bad, and he is otherwise asymptomatic.

Image shown under fair use.


Alex said...


tree said...

Sporothrix schenckii

Craig Chen said...

Good job!
By Any Other Name

Sporotrichosis is caused by the dimorphic fungus Sporothrix schenckii which is inoculated into the skin following contact with soil, moss, or other organic materials. Alcoholics have a propensity to develop extracutaneous sporotrichosis. This case describes lymphocutaneous sporotrichosis with a papule at site of inoculation. The primary lesion ulcerates but drainage is non-purulent and not malodorous. Similar lesions occur along the lymphatic channels.

Sources: UpToDate;