Sporotrichosis in a Nutshell
Classical presentation of sporotrichosis contain the following findings: Patient who is a gardener/landscaper, or who recently was exposed to decaying plant matter/soil Acute development of a single papule that ulcerates Odorless, non-purulent drainage Subsequent ulcerating papules proximal to the first on the affected extremity No systemic symptoms With this classical picture, the pathogen in question is the dimorphic fungus Sporotrix schenckii , which causes its namesake condition, sporotrichosis . Diagnosis requires aspiration or culture. Treatment is 3 - 6 months of itraconazole .