Unresolved chronic ulcerated nodules: Disseminated Cutaneous Sporotrichosis

Authors

  • Nurkhaniza Kaman MMed (Family Medicine), Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Azlina Ishak MMed (Family Medicine), Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Juliawati Muhammad MMed (Family Medicine), Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia

DOI:

https://doi.org/10.3329/bjms.v21i1.56348

Keywords:

cutaneous sporotrichosis; nodular vasculitis; sporotrichosis;Sporothrixschenkii; ulcerated nodules

Abstract

We present a case of disseminated cutaneous sporotrichosis in a 72-year-old male patient who has multiple ulcerated painless nodules over the left side of his chest and on his upper and lower left limbs for three years. He was initially diagnosed to have nodular vasculitis based on early repeated biopsies. Despite the patient’s good compliance with his prednisolone medication, no significant clinical improvement was observed. Another biopsy, which was arranged after two years of treatment for nodular vasculitis, supported the diagnosis of sporotrichosis. Itraconazole was initiated, and all the lesions showed a remarkable response toward the treatment. The delay in finding the correct diagnosis unnecessarily exposed the patient to the side effects of steroid and caused the disease to worsen.

Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 191-195

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Published

2022-01-01

How to Cite

Kaman, N. ., Ishak, A. ., & Muhammad, J. . (2022). Unresolved chronic ulcerated nodules: Disseminated Cutaneous Sporotrichosis. Bangladesh Journal of Medical Science, 21(1), 191–195. https://doi.org/10.3329/bjms.v21i1.56348

Issue

Section

Case Reports