SPOROTRICHOSIS: EXUBERANT PRESENTATION IN AN ENDEMIC CONTEXT

• Autor(a) principal: Pessanha, Caio de Azevedo
• Data de Publicação: 2022
• Outros Autores: Menezes, Ana Luiza Tavares, Pralon, Octávio Giacomin, Pereira, Letícia Manhães Rebelo, De Araújo, Ana Carolina Dos Santos, De Almeida, Ana Paula Moura
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/331
• topic: esporotricose, zoonose, itraconazol; sporotrichosis, zoonosis, itraconazole

Introduction: Sporotrichosis is an endemic disease in the state of Rio de Janeiro caused by a Sporothrix spp. fungus, whose most common species is the S. brasiliensis. The illness can manifest in cutaneous or systemic form, more frequently as the cutaneous affection with lesions restricted to the skin, subcutaneous and adjacent lymphatic vessels. Objective: Describing a case of cutaneous lymphatic sporotrichosis, emphasizing the importance of a correct diagnosis, highlighting the epidemiological context, in addition to an appropriate notification. Case report: Male, 47 years old, presented a lesion in the right hemithorax with extension to the dorsal zone, ulcerated, with purulent material outlet, erythema around and palpable, and painful lymph node enlargement. Fungal culture revealed the growth of Sporothrix spp., and the histopathological exam showed a chronic inflammatory process in progress, suggesting infectious dermatitis. Treatment with Itraconazole 200mg / day was initiated, resulting in significant clinical improvement in the first month of treatment. Discussion: Despite the fact that sporotrichosis is known to spread through contaminated soil, a strong relationship between human infection and disease in cats has been observed in recent years. We must highlight the relevance of observing the clinical signs of the lesion to aid diagnosis, especially when the epidemiological history of contact with the feline is negative. Conclusion: The adoption of control and management measures for affected patients and animals is essential in order to minimize the number of cases in the region.