Sporotrichosis with bilateral lesions. A case report

Abstract

We report on a case of sporotrichosis in which lesions occurred bilaterally on upper limbs at different periods. The patient was an 84-year-old farmer living in Tsukuba City, Japan. The first lesion appeared on the left upper arm and remained untreated. The second lesion appeared on the back of the right hand 5 years later. Findings suggesting internal metastasis could not be confirmed in various examinations. We judged that the lesion of the left upper arm was primary and the lesion at the back of the right hand was caused by autoinoculation.

A case of lymphangitic sporotrichosis occurring on both forearms with a published work review of cases of bilateral sporotrichosis in Japan

“…The primary symptom of sporotrichosis is a non‐specific granulomatous lesion, most frequently affecting the face and upper limbs. In most cases, sporotrichosis develops unilaterally or solitarily, bilaterally‐distributed sporotrichosis has only been reported in 16 cases, including the present case 3–17 . In such cases, the correct diagnosis is often difficult to obtain.…”

Cat‐Transmitted Sporotrichosis Epidemic in Rio de Janeiro, Brazil: Description of a Series of Cases

“…On the other hand, 16.3% of patients presented with skin lesions at multiple locations, due in part to repeated inoculation during contact with sick animals [31]. Bilateral involvement of the limbs has occasionally been reported elsewhere [47,48]. Particularly noteworthy were 4 cases involving lesions in the conjunctiva and 1 case involving a lesion in the nasal mucosa, locations that are only exceptionally reported [49], although infections in these locations are considered by some authors to be a variation of the cutaneous form.…”

Case Report. Bilateral sporotrichosis

“…The diagnosis is confirmed by culturing the fungus. The disease is more common in tropical and subtropical regions [1‐4].…”