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Sporotrichosis

Sporotrichosis is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Lymphocutaneous:
    • Most common form
    • Inoculation of fungus (Sporothrix schenckii) into skin/soft tissue
    • Disease with or without hematogenous spread after traumatic inoculation with soil or plant material
    • Secondary to animal bites/scratches, especially from cats, trauma
    • Increased risk: Farmers, gardeners, landscapers, forestry workers
  • Pulmonary:
    • Inhalation of conidia aerosolized from soil/plant decay
    • Increased risk: Alcoholics, diabetics, COPD, steroid users
  • Multifocal extracutaneous:
    • Cutaneous inoculation and hematologic spread
    • Increased risk: HIV/immunosuppressed patients

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

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Citation

Rosen, Peter, 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: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis. Accessed April 25, 2019.
Sporotrichosis. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis
Sporotrichosis [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Sporotrichosis ID - 307438 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -