Extraocular and Facial Rose Gardener’s Disease: Uncommon Demographics

Rose gardener’s disease is caused by the saprophytic dimorphic fungus, typically in lymphocutaneous form involving the subcutaneous tissue. It is one of the most common mycoses affecting different regions of the world, especially people of low socioeconomic status, and it is rare in South India. Involvement of the eye and face is even more occasional, with periorbital tissue being the susceptible part. We report a young boy who presented with multiple nodules involving the right upper and lower eyelid and right nasojugal fold for 30 days with mild pain, unresponsive to conventional broad-spectrum antibiotics, and infective workup turned negative for common infections. Histopathology examination and cultures showed Sporothrix schenckii and then managed with oral itraconazole regimen with complete cure of the disease. Sporotrichosis is a common subcutaneous disease in certain demographic regions like Brazil, but is very rare in demographics like South India and so treating doctors should be aware of this disease for prompt and easy diagnosis.