An Uncommon Rash in the Emergency Department: Sporothrix schenckii.

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

7-1-2021

Keywords

cutaneous manifestations, emergency medical service, non-healing ulcer, skin blister, sporothrix schenckii, zoonosis and public health

Disciplines

Bacterial Infections and Mycoses | Dermatology | Emergency Medicine | Skin and Connective Tissue Diseases

Abstract

The authors present a case of Sporothrix schenckii diagnosed in the emergency department, based on a thorough history. The patient presented with skin nodules that had spread proximally up the arm in various stages of healing. He reported minimal pain for the unhealed ulcer and no pain for the healing ulcers, and no other concerning symptoms. The history of a thorn prick followed by the initial red nodule on the forearm has led to the diagnosis - as it was consistent with the classic presentation of lymphocutaneous sporotrichosis. A high index of suspicion and carefully noting occupational history is required for a diagnosis of sporotrichosis. Clinicians should recommend long sleeves and gloves to their patients when they are handling soil.

Publisher or Conference

Cureus

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