Case Report

Sporotrichosis from the northern territory of Australia

Shradha Subedi, Sarah E. Kidd, Robert W. Baird, Nicholas Coatsworth, Anna Ralph

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported.

    Original languageEnglish
    Pages (from-to)1263-1268
    Number of pages6
    JournalAmerican Journal of Tropical Medicine and Hygiene
    Volume91
    Issue number6
    DOIs
    Publication statusPublished - 1 Dec 2014

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    Northern Territory
    Sporotrichosis
    Sporothrix
    Delayed Diagnosis
    Fungi
    Extremities
    Anti-Bacterial Agents
    Infection
    Gardens

    Cite this

    Subedi, Shradha ; Kidd, Sarah E. ; Baird, Robert W. ; Coatsworth, Nicholas ; Ralph, Anna. / Case Report : Sporotrichosis from the northern territory of Australia. In: American Journal of Tropical Medicine and Hygiene. 2014 ; Vol. 91, No. 6. pp. 1263-1268.
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    abstract = "We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported.",
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    Case Report : Sporotrichosis from the northern territory of Australia. / Subedi, Shradha; Kidd, Sarah E.; Baird, Robert W.; Coatsworth, Nicholas; Ralph, Anna.

    In: American Journal of Tropical Medicine and Hygiene, Vol. 91, No. 6, 01.12.2014, p. 1263-1268.

    Research output: Contribution to journalArticleResearchpeer-review

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