Open AccessDacryocystitis due to sporothrix inoculated vis an unusual mode
Author(s) -
Lixia Sun,
Yaru Dong,
Xin Wang,
Baihui Shan,
Min Zhang
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000011182
Subject(s) - sporotrichosis , medicine , sporothrix , itraconazole , sporothrix schenckii , dacryocystitis , dermatology , mycosis , lesion , phaeohyphomycosis , paronychia , surgery , antifungal
Rationale: Sporotrichosis is the most common subcutaneous mycosis. It is caused by the dimorphic fungus Sporothrix schenckii. Ocular sporotrichosis is uncommon and has been rarely reported. Patient concerns: We describe a 34-year-old female who presented with a nodule increasing in size near the medial angle of the left eye. Originally, she was misdiagnosed with a dacryocyst space-occupying lesion, and the lesion was removed by surgery. Diagnoses: Findings of fungal structures in the histopathological examination contributed to the diagnosis of Sporothrix dacryocystitis. Further culture of conjunctival secretions and contact lens storage solution was positive for Sporothrix . Interventions: She was treated with oral itraconazole, 200 mg by mouth twice daily. Outcomes: After 3 months of treatment with oral itraconazole, culture of the conjunctival secretions was negative. Lessons: It is of paramount importance to clinically suspect mycosis, even in unusual locations or in the absence of the typical epidemiological history.