Spotting sporotrichosis skin infection: the first Australian paediatric case series

A. Schauer, A. Bowen, A. Campbell

    Research output: Contribution to conferencePoster

    Abstract

    Background: Sporotrichosis is a dermatomycosis caused by the dimorphic fungus, Sporothrix schenckii, with various outbreaks across Australia attributed to mouldy hay. Our objective was to investigate the clinical presentation and management of sporadic cutaneous sporotrichosis in a paediatric population in Western Australia.

    Method:
    A retrospective case review was performed of Sporothrix schenckii infections occurring in children below 18 years, between January 2000 and November 2017. Cases were identified in the state‐wide pathology laboratory database (PathWest). Clinical data was obtained from medical records at Princess Margaret Hospital for Children.

    Results: Thirty‐three cases of microbiologically proven Sporothrix schenckii infection were identified. Most came from a rural area (n = 20, 60%). Complete clinical data was available on 10 cases (30%).The most common risk factors were exposure to farm animals, hay, insect or animal bites. The median duration from symptom onset to correct diagnosis was 6 weeks (interquartile range [IQR]: 4–7 weeks). All cases were initially treated with broad spectrum antibacterial therapy involving multiple antibacterial agents. All cases received itraconazole for targeted therapy, with the median duration of treatment being 5 months (IQR: 4–6 months). Morbidity occurred in the form of scarring (n = 4), itraconazole associated diarrhoea (n = 1) and mild hepatotoxicity (n = 1).

    Conclusions:
    To our knowledge, this is the first reported case series of Sporotrichosis in a paediatric population in Australia. This data highlights the importance of recognising Sporotrichosis outside of an outbreak setting, leading to timely diagnosis and appropriate treatment with antifungal agents.
    Original languageEnglish
    Pages103-104
    Number of pages2
    DOIs
    Publication statusPublished - 1 May 2018
    EventAustralasian College of Dermatology : 51st Annual Scientific Meeting - Gold Coast Convention and Exhibition Centre, Gold Coast, Australia
    Duration: 19 May 201822 May 2019

    Conference

    ConferenceAustralasian College of Dermatology
    CountryAustralia
    CityGold Coast
    Period19/05/1822/05/19

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