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 CASE REPORT
Year : 2007  |  Volume : 73  |  Issue : 3  |  Page : 188--190

Cutaneous sporotrichosis of face: Polymorphism and reactivation after intralesional triamcinolone


1 Department of Dermatology, Venereology and Leprosy, Indira Gandhi Medical College, Shimla, India
2 Department of Microbiology, Indira Gandhi Medical College, Shimla, India

Correspondence Address:
Nand Lal Sharma
Department of Dermatology, Venereology and Leprosy, Indira Gandhi Medical College, Shimla - 171001 (H. P.),
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.32745

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Cutaneous sporotrichosis, a subcutaneous mycotic infection is caused by the saprophytic, dimorphic fungus Sporothrix schenckii. It commonly presents as lymphocutaneous or fixed cutaneous lesions involving the upper extremities with facial lesions being seen more often in children. The lesions are polymorphic. The therapeutic response to saturated solution of potassium iodide is almost diagnostic. We describe a culture-proven case of cutaneous sporotrichosis of the face mimicking lupus vulgaris initially and basal cell carcinoma later, who did not tolerate potassium iodide and failed to respond to treatment with fluconazole. The patient had reactivation of infection following an infiltration of the scar with triamcinolone acetonide injection. Various other aspects of these unusual phenomena are also discussed.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow