Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous sporotrichiosis minor trauma leads to skin inoculation. Papulonodular, erythematous often ulcerates, painless, no systemic signs, labs normal. Culture of tissue biopsy preferred Differential of papulonodular lesions w/ lymphatic spread: common: nocardia, leishmania, Tb, NTM; less common (leprosy, staph aureus, cow pox, strep pyogenes, tularemia, scedosporium, fusarium) Indiana University Infectious Diseases Fellowship @IUIDfellowship #Lymphocutaneous #Sporotrichiosis #Infection #clinical #photo #hand
