Disseminated cutaneous sporotrichosis in a patient with AIDS: report of a case

• Main Authors: Miriam Tomoko Mitsuno Carvalho, Adriana Pinheiro de Castro, Cristiane Baby, Betina Werner, José Filus Neto, Flávio Queiroz-Telles
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2002
• Subjects: Sporotrichosis; AIDS; Sporothrix schenkii; Itraconazole; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doaj.org/article/3caca407c10649a0a389712d2c7796dd

We describe a case report of disseminated cutaneous sporotrichosis as the initial presentation of AIDS in a 24-year-old HIV-positive male patient. He presented multiple ulcerated skin lesions distributed over the face, thorax, legs and arms. Biopsy of one of the cutaneous lesions was suggestive of sporotrichosis and culture isolated Sporothrix schenckii. Itraconazole was started and the lesions progressively resolved after 15 days of medication. The patient was discharged with this medication but he did not return for follow-up. He died three months later in another hospital. Therapy of sporotrichosis in HIV-infected patients remains unclear and the response to therapy is variable. Itraconazole is highly concentrated in the skin and is one of the options for treatment of disseminated sporotrichosis.