Primary Pulmonary Sporotrichosis

Abstract

A case of pulmonary sporotrichosis is described with secondary involvement of the rectum which was misdiagnosed as tuberculosis for a number of years. The authors suggest that every nondiagnosed chronic cavitary disease in the lung should include appropriate tests for sporotrichosis.

Pulmonary and Extrapulmonary Manifestations of Fungal Infections Misdiagnosed as Tuberculosis: The Need for Prompt Diagnosis and Management

“…In South America a separate species ( S. brasiliensis ) causes feline sporotrichosis and consequently human infection. Acute or sub-acute granulomatous infection follows traumatic skin inoculation with conidia [ 67 ]. It may manifest as a cutaneous, pulmonary or disseminated disease and is considered an occupational risk for gardeners, farmers, horticulturists and forest workers [ 67 ].…”

“…Acute or sub-acute granulomatous infection follows traumatic skin inoculation with conidia [ 67 ]. It may manifest as a cutaneous, pulmonary or disseminated disease and is considered an occupational risk for gardeners, farmers, horticulturists and forest workers [ 67 ]. Males are commonly affected [ 65 , 66 , 67 ], and 75% of cases are lymphocutaneous, but in immunocompromised people, particularly those with HIV, disseminated sporotrichosis has been reported [ 104 , 105 ].…”

“…It may manifest as a cutaneous, pulmonary or disseminated disease and is considered an occupational risk for gardeners, farmers, horticulturists and forest workers [ 67 ]. Males are commonly affected [ 65 , 66 , 67 ], and 75% of cases are lymphocutaneous, but in immunocompromised people, particularly those with HIV, disseminated sporotrichosis has been reported [ 104 , 105 ]. Primary pulmonary sporotrichosis occurs when the conidia of the Sporothrix species are inhaled and present as a chronic cavitary fibronodular disease that usually affects middle-aged people with chronic alcoholism or chronic obstructive pulmonary disease [ 65 ].…”

“…Primary pulmonary sporotrichosis occurs when the conidia of the Sporothrix species are inhaled and present as a chronic cavitary fibronodular disease that usually affects middle-aged people with chronic alcoholism or chronic obstructive pulmonary disease [ 65 ]. The clinical and radiological findings are non-specific and as such could be mistaken for other chronic pulmonary disorders, such as TB [ 65 , 66 , 67 ]. Sporotrichosis is common in Brazil, Peru, South Africa, India, Japan and China [ 106 , 107 ].…”