Disseminated Cutaneous and Osteoarticular Sporotrichosis Mimicking Pyoderma Gangrenosum

Author:

Saeed Lina12,Weber Robert J1,Puryear Sarah B13,Bahrani Eman12,Peluso Michael J13,Babik Jennifer M13,Haemel Anna12,Coates Sarah J12

Affiliation:

1. School of Medicine, University of California San Francisco, San Francisco, California, USA

2. Department of Dermatology, University of California San Francisco, San Francisco, California, USA

3. Division of Infectious Disease, University of California San Francisco, San Francisco, California, USA

Abstract

Abstract Disseminated sporotrichosis may present with inflammatory arthritis and cutaneous ulcerations that mimic noninfectious skin conditions such as pyoderma gangreonsum (PG). Sporotrichosis must therefore be ruled out before administering immunosuppressive agents for PG. Furthermore, dimorphic fungi such as sporotrichosis may grow as yeast in bacterial cultures, even before fungal cultures become positive. We present a case of disseminated cutaneous and osteoarticular sporotrichosis mimicking PG and describe the differential diagnosis and the diagnostic and treatment approach to this condition.

Funder

National Institute of General Medical Sciences (NIGMS) Medical Scientist Training Program

the National Cancer Institute and the Fogarty International Center of the National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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