Disseminated sporotrichosis presenting as left nasolacrimal duct obstruction.

Pub Date : 2024-10-01 Epub Date: 2023-05-26 DOI:10.1080/01676830.2023.2216775
Pelin Celiker, Lily Koo Lin
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Abstract

Sporotrichosis, a subacute or chronic mycosis caused by the Sporothrix schenckii complex, is commonly seen in tropical or subtropical parts of the world, especially in individuals who are in contact with cats or engage in gardening activities. Sporotrichosis generally presents with skin ulceration at the site of inoculation and follows a lymphocutaneous pattern; however, it can present in various confounding ways. Here, we present a case of disseminated sporotrichosis in an immunocompromised patient who did not seem to have any of the commonly associated risk factors and initially presented with a left nasolacrimal duct obstruction caused by lacrimal sac sporotrichosis, but then was found to have monoarticular involvement of his knee also secondary to disseminated sporotrichosis. Thorough clinical and microbiological evaluation, as well as multidisciplinary work, can lead to correct diagnosis and treatment of sporotrichosis, especially for atypical presentations in immunocompromised individuals.

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散发性孢子丝菌病表现为左侧鼻泪管阻塞。
孢子丝菌病是由孢子丝菌(Sporothrix schenckii)复合体引起的一种亚急性或慢性真菌病,常见于世界热带或亚热带地区,尤其是与猫接触或从事园艺活动的人。孢子丝菌病通常在接种部位出现皮肤溃疡,并遵循淋巴皮肤模式;然而,它也可能以各种令人困惑的方式出现。在这里,我们介绍了一例免疫力低下患者的播散性孢子丝菌病,该患者似乎没有任何常见的相关危险因素,最初表现为泪囊孢子丝菌病引起的左侧鼻泪管阻塞,但后来发现他的膝关节单关节受累,也是继发于播散性孢子丝菌病。通过全面的临床和微生物学评估以及多学科合作,可以正确诊断和治疗孢子丝菌病,尤其是免疫力低下者的非典型表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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