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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

Barkin, Adam Z., 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: Barkin AZ, Barkin RM, Hayden SR, 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 February 24, 2019.

Sporotrichosis. (2016). In Barkin, A. Z., Barkin, R. M., Hayden, S. R., Rosen, P., Schaider, J. J., Shayne, P., & Wolfe, R. E. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis

Sporotrichosis [Internet]. In: Barkin AZ, Barkin RM, Hayden SR, Rosen P, Schaider JJ, Shayne P, Wolfe RE, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 February 24]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307438/all/Sporotrichosis

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TY - ELEC T1 - Sporotrichosis ID - 307438 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, 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 -