Sporotrichosis - Sporothrix schenckii - Diagnosis and Management Summary Sources: • Landscaping, Christmas tree farming, Rose gardening, Topiary production • Zoonotic transmission from cats (rare) Diagnosis: • Culture is the gold standard • Histopathologic mixed granulomatous / pyogenic process • PCR not available commercially • Serology is not used Sporotrichosis Syndromes: • Lymphocutaneous Sporotrichosis - Most common form. Days-weeks. Similar lesions along lymphatic channels. • Pulmonary Sporotrichosis - Symptoms, CXR mimic TB +/- dissemination to skin. If untreated progresses to death • Osteoarticular Sporotrichosis - Uncommon manifestation. More frequently in alcoholics. Hematogenous spread. • Meningeal Sporotrichosis - Rare manifestation. Weeks-months. Lymphoma or AIDS. CSF similar to TB or cryptococcus • Disseminated Sporotrichosis - Very uncommon - AIDS patients. By @TheIDtrivia #Sporotrichosis #Sporothrix #schenckii #diagnosis #infectiousdiseases #treatment #management #microbiology #syndromes
