5-Minute Emergency Consult
Sporotrichosis
Sporotrichosis is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
- “Rose gardener's disease”
- Lymphocutaneous:
- Most common form
- Traumatic inoculation of fungus (Sporothrix schenckii) into skin/soft tissue
- Solitary nodule with or without distal to proximal lymphocutaneous spread
- Secondary to animal bites/scratches, especially from cats, trauma
- Increased risk: Farmers, gardeners, landscapers, forestry workers, veterinarians
- Pulmonary:
- Inhalation of S. schenckii spores aerosolized from soil/plant decay
- Increased risk: Alcoholics COPD, steroid users
- Multifocal extracutaneous:
- Cutaneous inoculation and hematologic spread
- Increased risk: Immunosuppressed patients
Etiology
Etiology
- Fungal infection caused by S. schenckii:
- Dimorphic fungus
- Occurs as mold on decaying vegetation, moss, and soil in temperate and tropical environments
- Animal vectors, notably cats and armadillos
- Common environmental exposure: Rose bushes, hay bales, sphagnum moss, conifer seedlings
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Basics
Description
Description
- “Rose gardener's disease”
- Lymphocutaneous:
- Most common form
- Traumatic inoculation of fungus (Sporothrix schenckii) into skin/soft tissue
- Solitary nodule with or without distal to proximal lymphocutaneous spread
- Secondary to animal bites/scratches, especially from cats, trauma
- Increased risk: Farmers, gardeners, landscapers, forestry workers, veterinarians
- Pulmonary:
- Inhalation of S. schenckii spores aerosolized from soil/plant decay
- Increased risk: Alcoholics COPD, steroid users
- Multifocal extracutaneous:
- Cutaneous inoculation and hematologic spread
- Increased risk: Immunosuppressed patients
Etiology
Etiology
- Fungal infection caused by S. schenckii:
- Dimorphic fungus
- Occurs as mold on decaying vegetation, moss, and soil in temperate and tropical environments
- Animal vectors, notably cats and armadillos
- Common environmental exposure: Rose bushes, hay bales, sphagnum moss, conifer seedlings
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Citation
Schaider, Jeffrey J., et al., editors. "Sporotrichosis." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis.
Sporotrichosis. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis. Accessed July 23, 2021.
Sporotrichosis. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th edition). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis
Sporotrichosis [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2021 July 23]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis.
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