1/13. sporothrix meningitis.sporothrix schenckii is a fungus commonly found in soil and on plants, wood splinters, rosebush thorns, and decaying vegetation. It is also carried by some wild and domestic animals and rodents. When this organism penetrates the skin of individuals handling contaminated substances, the cutaneous manifestation may be lymphangitic or fixed. The treatment of choice for the cutaneous form of the disease (sporotrichosis) is potassium iodide. If iodides are contraindicated or not tolerated, itraconazole may be used. sporotrichosis can persist for years if unrecognized and can progress to systemic forms, including osteoarticular, pulmonary (may occur when the organism is inhaled), and meningeal involvement. Systemic forms can be life-threatening and very difficult to treat. Primary care providers must be familiar with this disorder and its presentation because it is easily mistaken for a bacterial infection and inappropriately treated.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
2/13. Sporotrichoid phaeohyphomycosis due to alternaria infectoria.We describe a cardiac transplant patient who had human cutaneous alternariosis with a sporotrichoid distribution of skin lesions. In this patient identification of the causative organism alternaria infectoria was achieved by sequencing the rDNA internal transcribed spacer domain. Treatment with itraconazole led to clinical resolution within 4 months.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
3/13. Localized lymphatic sporotrichosis after fish-induced injury (tilapia sp.).Localized lymphatic sporotrichosis generally develops after the fungus sporothrix schenckii is traumatically introduced into skin or mucosa by contaminated plant material. An 18-year-old male fisherman was injured by spines of the dorsal fin of a fish on the left third finger. The lesion became ulcerated, edematous and suppurative and did not respond to tetracycline and cephalexin. Fifteen days after the accident, a nodular lymphangitic pattern of swelling was observed. Histopathological findings and an intradermal test were suggestive of sporotrichosis and mycological cultures confirmed the diagnosis. The lesions resolved after oral treatment with potassium iodide. sporotrichosis is a common subcutaneous mycosis in brazil, and there is a previous report in the literature of this disease being acquired via trauma involving fish spines.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
4/13. Zoonotic sporothricosis transmitted by cats in Rio de Janeiro, brazil. A case report.Sporotricosis is a ubiquitous mycosis characterized by nodular lesions of the cutaneous or subcutaneous tissues and adjacent lymphatics that usually suppurate and ulcerate. Secondary spread to the articular surface and bone or dissemination to the central nervous system, genitourinary tract or lungs is also possible. All forms of sporothricosis are caused by a single species, sporothrix schenkii. In the great majority of cases the fungus gains entrance into the body through trauma to the skin with some kind of plant materials such as thorns or splinters. Zoonotic transmission is also possible and several animals are implicated. This kind of transmission is most frequently a professional hazard of people dealing with animals but in some parts of the world, including Rio de Janeiro city and metropolitan region, an increase in transmission by pet cats has been noted. In these cases the infection may be observed in the family environment, an important epidemiological consideration to clinicians.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
5/13. A case of sporotrichosis treated with itraconazole.Lymphocutaneous sporotrichosis is caused by sporothrix schenckii, a dimorphic fungus commonly existing on decaying plants and in the soil. The fungus has a worldwide distribution but is more prevalent in temperate and tropical climates. infection may result from traumatic inoculation of contaminated material such as soil, hay, moss, plant debris, splinters, thorns and barbs. Inoculation is also possible through some animal scratches and bites. We describe a typical case of lymphocutaneous sporotrichosis, which was confirmed by clinical, histological and microbiological features. The patient was successfully treated with 400 mg daily systemic itraconazole for 4 months.- - - - - - - - - - ranking = 2keywords = plant (Clic here for more details about this article) |
6/13. Disseminated Sporothix schenckii in a patient with AIDS.sporothrix schenckii is a widespread dimorphic fungus which can cause cutaneous infection following local implantation. Disseminated sporotrichosis may occur in immunodeficient individuals but meningitis remains a rare complication. diagnosis is usually difficult, requiring isolation of the organism from the CSF or skin so appropriate treatment can be promptly initiated. We present the first case of S. schenckii meningitis reported in the UK in a patient with AIDS. He presented with insidious features of meningoencephalitis, hydrocephalus and multiple cutaneous lesions and failed to respond to therapy.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
7/13. Sporotrichoid cutaneous infection due to mycobacterium chelonei in a renal transplant patient.Atypical mycobacterial infections are becoming more common in dermatological practice due to increasing numbers of immunosuppressed patients. A case of cutaneous mycobacterium chelonei infection with sporotrichoid spread in a renal transplant patient is described, and the current literature regarding clinical spectrum, histopathology and management of infection with this pathogen is reviewed.- - - - - - - - - - ranking = 5keywords = plant (Clic here for more details about this article) |
8/13. sporotrichosis: recurrent cutaneous, articular, and central nervous system infection in a renal transplant recipient.A case of recurrent, disseminated sporotrichosis in a renal transplant recipient is reported in which two joints, the skin, and the central nervous system were involved. The disease recurred both eight months and three years after the initial treatment with amphotericin b. The second course of therapy with amphotericin b required systemic and intraarticular administration of the drug. The third course of therapy included systemic and intrathecal administration. The function of the cadaveric transplanted kidney was maintained throughout the first recurrence of disease by careful reduction of immunosuppressive therapy and attention to the level of antifungal therapy. The kidney could not be salvaged after the second recurrence because of continued amphotericin b nephrotoxicity; however, the patient was cured of his infection. sporothrix (Sporotrichum) schenckii may be a difficult organism to eradicate in chronically immunosuppressed patients, but the disease it causes may be successfully treated with aggressive systemic therapy.- - - - - - - - - - ranking = 6keywords = plant (Clic here for more details about this article) |
9/13. Granulomas of the vocal cords caused by sporothrix schenckii.A 42-year-old female acquired an acute respiratory infection one week after working in a sphagnum moss packing plant. Three and one half months later direct laryngoscopic examination, done because of persistent hoarseness, revealed granulomas of the left true cord. Initial biopsy showed noncaseating granulomas, and a repeat biopsy with fungal cultures grew sporothrix schenckii. The patient was treated with an oral solution of saturated potassium iodide and gradually improved although mild hoarseness has persisted.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
10/13. Primary pulmonary sporotrichosis.The diagnosis of primary pulmonary sporotrichosis was made in a 53-year-old male alcoholic four years after initial presentation with cavitary lung disease. Clinical and radiologic awareness of this extremely rare entity will allow optimal study of bronchial secretions in the bacteriology laboratory. Important clues include: (1) exposure to thorny plants, (2) cavitary pulmonary disease resistant to both diagnosis and treatment, and (3) a history of alcoholism.- - - - - - - - - - ranking = 1keywords = plant (Clic here for more details about this article) |
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