Atypical manifestation of cutaneous sporotrichosis: case report

Sporotrichosis is a subcutaneous mycosis caused by dimorphic fungi of the Sporothrix schenckii complex and considered endemic in Latin America. Clinical presentations depend on the characteristics of the fungus and the immunological competence of the host. We report the case of a 40-year-old woman with progressive and rapid appearance of multiple papules with central umbilication and crusts distributed on the back and immunocompetent. The culture was definitive for the diagnosis of the disease, revealing Sporothrix sp. The treatment was with Itraconazole 200mg/day and, although extensive, resulted in complete healing of the lesions. The polymorphism of the lesions and their anatomical extension generated difficulties in fitting it into the current clinical forms. A fact that, according to the literature, could mean a new clinical classification of the disease.