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Pediatric Sporotrichosis Follow-up

  • Author: William P Baugh, MD; Chief Editor: Russell W Steele, MD  more...
Updated: Jan 31, 2012

Further Outpatient Care

See the list below:

  • The primary therapeutic approach to managing cutaneous lesions of sporotrichosis involves administration of systemic medications to eradicate the fungus. If a cutaneous plaque, nodule, or ulcer is present, consider teaching the patient about supportive local wound care to facilitate healing. Such education typically involves instruction on keeping lesions clean and free from further contamination. If the lesion is ulcerated, a topical ointment may be applied to prevent occurrence of secondary bacterial infections. Follow up with the patient in the clinic every 1-2 weeks to monitor progress. Instruct the patient about potential sources of this fungus to help avoid further infections.

Further Inpatient Care

See the list below:

  • Sporotrichosis is usually managed on an outpatient basis. A few patients with the more severe forms (eg, disseminated sporotrichosis) may require hospitalization.

Inpatient & Outpatient Medications

See the list below:

  • See Medical Care.


See the list below:

  • Educate every patient who has acquired sporotrichosis about the fungus and provide information about how to prevent occurrence of further infections. S schenckii is a saprophytic fungus, usually found in the soil. Instruct patients to be careful when working with soils, sphagnum moss, decaying wood, roses, thorn bushes, and salt marsh or prairie hay. If exposure to these materials or plants is anticipated, instruct patients to wear personal protective equipment, particularly gloves, to minimize thorn or splinter punctures of the skin.
  • Sporotrichosis has also been acquired from pets, particularly cats, so the physician should consider this potential source of acquisition if the aforementioned soil and plant exposures do not apply.


Prognosis for patients with sporotrichosis depends on its clinical type (eg, fixed cutaneous, localized cutaneous, lymphocutaneous, disseminated), associated underlying diseases, and the patient's immune response to this fungus.

  • Patients with fixed cutaneous and lymphocutaneous sporotrichosis have an excellent prognosis. These lesions usually respond well to therapy and typically resolve after 4-6 weeks of therapy.
  • Patients with the osteoarticular form of sporotrichosis usually have a moderately good prognosis, but they may require higher doses of medication, longer courses of therapy to achieve cure, or both.
  • Patients with pulmonary or disseminated forms of sporotrichosis usually have some underlying medical condition or immune deficit that allows the fungus to grow and spread unchecked. For example, patients who have insulin-dependent diabetes mellitus, chronic alcoholism, or AIDS may be unable to mount an adequate immune response to keep this fungal infection localized. Such patients typically have a worse prognosis and require longer courses of therapy.

Patient Education

See the list below:

  • See Deterrence/Prevention.
  • For excellent patient education resources, visit eMedicineHealth's Infections Center. Also, see eMedicineHealth's patient education article Sporotrichosis.
Contributor Information and Disclosures

William P Baugh, MD Assistant Clinical Professor of Dermatology, Western University of Health Sciences; Medical Director, Full Spectrum Dermatology; Consulting Staff, Department of Dermatology, St Jude Medical Center

William P Baugh, MD is a member of the following medical societies: American Academy of Dermatology, American Society for Laser Medicine and Surgery, Christian Medical and Dental Associations

Disclosure: Nothing to disclose.


Brad S Graham, MD Consulting Staff, Dermatology Associates of Tyler

Brad S Graham, MD is a member of the following medical societies: Alpha Omega Alpha, Texas Dermatological Society, American Academy of Dermatology, American Society of Dermatopathology

Disclosure: Nothing to disclose.

Cynthia L Chen, DO, DO Intern, Pacific Hospital of Long Beach, California

Cynthia L Chen, DO, DO is a member of the following medical societies: American Osteopathic Association, California Medical Association, American Osteopathic College of Dermatology, Los Angeles County Medical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Larry I Lutwick, MD Professor of Medicine, State University of New York Downstate Medical School; Director, Infectious Diseases, Veterans Affairs New York Harbor Health Care System, Brooklyn Campus

Larry I Lutwick, MD is a member of the following medical societies: American College of Physicians, Infectious Diseases Society of America

Disclosure: Nothing to disclose.

Chief Editor

Russell W Steele, MD Clinical Professor, Tulane University School of Medicine; Staff Physician, Ochsner Clinic Foundation

Russell W Steele, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Immunologists, American Pediatric Society, American Society for Microbiology, Infectious Diseases Society of America, Louisiana State Medical Society, Pediatric Infectious Diseases Society, Society for Pediatric Research, Southern Medical Association

Disclosure: Nothing to disclose.

Additional Contributors

Gary J Noel, MD Professor, Department of Pediatrics, Weill Cornell Medical College; Attending Pediatrician, New York-Presbyterian Hospital

Gary J Noel, MD is a member of the following medical societies: Pediatric Infectious Diseases Society

Disclosure: Nothing to disclose.

  1. [Guideline] Kauffman CA, Bustamante B, Chapman SW, Pappas PG. Clinical practice guidelines for the management of sporotrichosis: 2007 update by the Infectious Diseases Society of America. Clin Infect Dis. 2007 Nov 15. 45(10):1255-65. [Medline].

  2. Vilela R, Souza GF, Fernandes Cota G, Mendoza L. Cutaneous and meningeal sporotrichosis in a HIV patient. Rev Iberoam Micol. 2007 Jun. 24(2):161-3. [Medline].

  3. Zhou CH, Asuncion A, Love GL. Laryngeal and respiratory tract sporotrichosis and steroid inhaler use. Arch Pathol Lab Med. 2003 Jul. 127(7):893-4. [Medline].

  4. Lyon GM, Zurita S, Casquero J, et al. Population-based surveillance and a case-control study of risk factors for endemic lymphocutaneous sporotrichosis in Peru. Clin Infect Dis. 2003 Jan 1. 36(1):34-9. [Medline].

  5. Leme LR, Schubach TM, Santos IB, et al. Mycological evaluation of bronchoalveolar lavage in cats with respiratory signs from Rio de Janeiro, Brazil. Mycoses. 2007 May. 50(3):210-4. [Medline].

  6. Feeney KT, Arthur IH, Whittle AJ, Altman SA, Speers DJ. Outbreak of sporotrichosis, Western Australia. Emerg Infect Dis. 2007 Aug. 13(8):1228-31. [Medline].

  7. Song Y, Li SS, Zhong SX, Liu YY, Yao L, Huo SS. Report of 457 sporotrichosis cases from Jilin province, northeast China, a serious endemic region. J Eur Acad Dermatol Venereol. 2011 Dec 17. [Medline].

  8. Almeida-Paes R, Pimenta MA, Pizzini CV, Monteiro PC, Peralta JM, Nosanchuk JD. Use of mycelial-phase Sporothrix schenckii exoantigens in an enzyme-linked immunosorbent assay for diagnosis of sporotrichosis by antibody detection. Clin Vaccine Immunol. 2007 Mar. 14(3):244-9. [Medline].

  9. Sharma NL, Mahajan VK, Verma N, Thakur S. Cutaneous sporotrichosis: an unusual clinico-pathologic and therapeutic presentation. Mycoses. 2003 Dec. 46(11-12):515-8. [Medline].

  10. Bonifaz A, Fierro L, Saul A, Ponce RM. Cutaneous sporotrichosis. Intermittent treatment (pulses) with itraconazole. Eur J Dermatol. 2008 Jan-Feb. 18(1):61-4. [Medline].

  11. Almeida-Paes R, Pimenta MA, Monteiro PC, Nosanchuk JD, Zancope-Oliveira RM. Immunoglobulins G, M, and A against Sporothrix schenckii exoantigens in patients with sporotrichosis before and during treatment with itraconazole. Clin Vaccine Immunol. 2007 Sep. 14(9):1149-57. [Medline].

  12. Baroni A, Palla M, Iovene MR, et al. Sporotrichosis: success of itraconazole treatment. Skinmed. 2007 Jan-Feb. 6(1):41-4. [Medline].

  13. Baum GL, Donnerberg RL, Stewart D. Pulmonary sporotrichosis. N Engl J Med. 1969 Feb 20. 280(8):410-3. [Medline].

  14. Bonifaz A, Peniche A, Mercadillo P. Successful treatment of AIDS-related disseminated cutaneous sporotrichosis with itraconazole. AIDS Patient Care STDS. 2001 Dec. 15(12):603-6. [Medline].

  15. Davis BA. Sporotrichosis. Dermatol Clin. 1996 Jan. 14(1):69-76. [Medline].

  16. De Araujo T, Marques AC, Kerdel F. Sporotrichosis. Int J Dermatol. 2001 Dec. 40(12):737-42. [Medline].

  17. Dolezal JF. Blastomycoid sporotrichosis. Response to low-dose amphotericin B. J Am Acad Dermatol. 1981 May. 4(5):523-7. [Medline].

  18. Dunstan RW, Langham RF, Reimann KA. Feline sporotrichosis: a report of five cases with transmission to humans. J Am Acad Dermatol. 1986 Jul. 15(1):37-45. [Medline].

  19. Gordhan A, Ramdial PK, Morar N. Disseminated cutaneous sporotrichosis: a marker of osteoarticular sporotrichosis masquerading as gout. Int J Dermatol. 2001 Nov. 40(11):717-9. [Medline].

  20. Hajjeh R, McDonnell S, Reef S. Outbreak of sporotrichosis among tree nursery workers. J Infect Dis. 1997 Aug. 176(2):499-504. [Medline].

  21. Horii KA, Jackson MA, Sharma V. Localized cutaneous sporotrichosis in a child. Arch Dermatol. 2006 Oct. 142(10):1369-70. [Medline].

  22. Karakayali G, Lenk N, Alli N. Itraconazole therapy in lymphocutaneous sporotrichosis: a case report and review of the literature. Cutis. 1998 Feb. 61(2):106-7. [Medline].

  23. Kauffman CA, Pappas PG, McKinsey DS. Treatment of lymphocutaneous and visceral sporotrichosis with fluconazole. Clin Infect Dis. 1996 Jan. 22(1):46-50. [Medline].

  24. Lynch PJ, Voorhees JJ, Harrell ER. Systemic sporotrichosis. Ann Intern Med. 1970 Jul. 73(1):23-30. [Medline].

  25. Meffert JJ. Cutaneous sporotrichosis presenting as a keratoacanthoma. Cutis. 1998 Jul. 62(1):37-9. [Medline].

  26. Mohan N, Jayaseelan E, Abraham A. Cutaneous sporotrichosis in Bangalore, southern India. Int J Dermatol. 43(4):269-72. [Medline].

  27. O'Reilly LC, Altman SA. Macrorestriction analysis of clinical and environmental isolates of Sporothrix schenckii. J Clin Microbiol. 2006 Jul. 44(7):2547-52. [Medline].

  28. Rodriguez G, Sarmiento L. The asteroid bodies of sporotrichosis. Am J Dermatopathol. 1998 Jun. 20(3):246-9. [Medline].

  29. Sandhu K, Gupta S. Potassium iodide remains the most effective therapy for cutaneous sporotrichosis. J Dermatolog Treat. 2003 Dec. 14(4):200-2. [Medline].

  30. Sanz J, Andreu JL, Martinez-Garcia G. Sporotrichial bursitis. Br J Rheumatol. 1998 Apr. 37(4):461-2. [Medline].

  31. Sharma NL, Mahajan VK, Verma N, Thakur S. Cutaneous sporotrichosis: an unusual clinico-pathologic and therapeutic presentation. Mycoses. 2003 Dec. 46(11-12):515-8. [Medline].

  32. Ticoras CJ, Schroeter AL, Hornbeck KL. Disseminated ulcerated papules and nodules. Cutaneous disseminated sporotrichosis. Arch Dermatol. 1996 Aug. 132(8):963-4, 966-7. [Medline].

  33. Ware AJ, Cockerell CJ, Skiest DJ. Disseminated sporotrichosis with extensive cutaneous involvement in a patient with AIDS. J Am Acad Dermatol. 1999 Feb. 40(2 Pt 2):350-5. [Medline].

  34. Werner AH, Werner BE. Sporotrichosis in man and animal. Int J Dermatol. 1994 Oct. 33(10):692-700. [Medline].

  35. Whitfeld MJ, Faust HB. Lymphocutaneous sporotrichosis. Australas J Dermatol. 1995 Aug. 36(3):161-3. [Medline].

  36. Zaharopoulos P. Fine-needle aspiration cytologic diagnosis of lymphocutaneous sporotrichosis: a case report. Diagn Cytopathol. 1999 Feb. 20(2):74-7. [Medline].

Sporotrichosis with cutaneous necrosis and lymphangitic (sporotrichoid) spread. A 28-year-old white man presented for evaluation of a poorly healing, asymptomatic, round plaque acquired on the dorsum of his left hand. The lesion had been present for approximately 3 weeks.
Glucose-peptone agar culture plates revealing colony growth of Sporothrix schenckii. The left plate reveals older colonies as dark brown or black, and the right plate reveals younger white colonies with a brown center, characteristic of this fungus.
Microscopic examination of a blue dye preparation from the colony surface reveals elongated septate hyphae with groups of microconidia in a flowerlike arrangement.
A well-circumscribed, moderately elevated, erythematous plaque with central ulceration is found on the dorsum of this patient's left hand. Potassium chloride (KOH) stain was negative for fungal elements.
A 2 X 2 cm, dome-shaped, well-circumscribed, erythematous plaque is shown proximal to the left ring finger. The lesion was draining a serosanguineous fluid. No purulence was noted.
Biopsy rarely reveals the 6-mcg cigar-shaped yeast within tissue macrophages as shown in this histologic section. This is the morphology that Sporothrix schenckii assumes at 37°C.
Moist cream-colored colonies with a central, dark, leathery, and wrinkled surface growing at 25°C is highly suggestive of Sporothrix schenckii.
A fresh agar slant of Sporothrix schenckii reveals moist, white-to-cream–colored, yeastlike colonies.
Cutaneous, ulcerating, painless nodule on the hand and a classic sporotrichoid lymphangitic pattern spreading proximally up the arm.
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