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.

3 comments:

Alex said...

spororhrix

tree said...

Sporothrix schenckii

Craig Chen said...

Good job!
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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; www.nlm.nih.gov.