Aug 2026· International Journal of Infectious Diseases· pp.
109055
· 0 citations· 15 references
Medicine
TL;DR
A 78-year-old man who came to an out-patient clinic for progressive ulcerative cutaneous lesions for 6 months with concurrent pulmonary symptoms and osteomyelitis is reported, negative for infectious organisms and therapeutic trial of standard anti-tuberculous regimen failed to improve clinical symptoms.
Abstract
Sporotrichosis is a mycosis with multitudinous clinical manifestation based on varying factors. We report a 78-year-old man who came to an out-patient clinic for progressive ulcerative cutaneous lesions for 6 months with concurrent pulmonary symptoms and osteomyelitis. Initial investigations were negative for infectious organisms and therapeutic trial of standard anti-tuberculous regimen failed to improve clinical symptoms. Subsequent fungal culture from the ulcerative skin showed dark colonies of Sporothrix schenckii complex. A review of sporotrichosis cases mimicking tuberculosis is provided to demonstrate diagnostic and therapeutic challenges, especially when tuberculosis is endemic.
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Although Bartonella henselae is the commonest cause of POGS, Sporothrix schenckii warrants consideration in cat-exposed patients, alongside bacterial co-infection.
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