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Primary Pulmonary Sporotrichosis: Case Report and Review of the Literature

Tiwari, Anupama MD*; Malani, Anurag N. MD

Infectious Diseases in Clinical Practice: January 2012 - Volume 20 - Issue 1 - p 25–27
doi: 10.1097/IPC.0b013e318234c36a
Review Articles

Abstract: Pulmonary infection with Sporothrix schenkii is uncommon. Fewer than 100 cases of primary pulmonary sporotrichosis have been reported in the English-language literature. Pulmonary infection most likely occurs by inhalation or aspiration of conidia in susceptible individuals. Pulmonary sporotrichosis usually occurs in males 30 to 60 years of age who are immunosuppressed and/or have underlying lung diseases. S schenckii is neither highly invasive nor highly virulent and hence tends to produce insidious and chronic infections in humans. The outcome of pulmonary sporotrichosis is often poor because of delay in diagnosis and severe underlying pulmonary disease. We report a case of chronic cavitary sporotrichosis in an immunocompetent female whose diagnosis was delayed, requiring evaluation over the course of almost 1 year. She is successfully undergoing treatment with itraconazole.

From the *Department of Internal Medicine and †Section of Infectious Diseases, Saint Joseph Mercy Health System, Ann Arbor, MI.

Correspondence to: Anurag N. Malani, MD, St. Joseph Mercy Health System, 5333 McAuley Dr, Suite 3106, Ypsilanti, MI 48197. E-mail: malanian@umich.edu.

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.