Sporotrichosis Follow-up

Updated: Aug 09, 2017
  • Author: Nelson Ivan Agudelo Higuita, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Follow-up

Further Outpatient Care

S schenckii strains that cause cutaneous or lymphocutaneous sporotrichosis grow better at 35°C than at 37°C; therefore, topical heat application to lesions may be of adjunctive benefit.

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Deterrence/Prevention

Exercise efforts to minimize cutaneous inoculation of S schenckii. This includes wearing gloves and other protective clothing when gardening. Use of gloves when handling animals with skin lesions also minimizes the risk of zoonotic transmission.

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Prognosis

Cutaneous or lymphocutaneous sporotrichosis

Complete recovery without scarring is the expected outcome with appropriate treatment; however, the therapy required to cure the disease is protracted and expensive.

Pulmonary sporotrichosis

Limited data are available on the response to treatment; however, evidence suggests that most cases of pulmonary sporotrichosis respond to itraconazole therapy. Those who do not respond to itraconazole require treatment with amphotericin B.

Pulmonary sporotrichosis contributes to declined respiratory function in patients with COPD.

Osteoarticular sporotrichosis

More than 70% of patients with osteoarticular sporotrichosis have a clinical response to itraconazole therapy. Relapse may occur. Severe disability can result from unrecognized chronic osteoarticular sporotrichosis.

Disseminated sporotrichosis

Most patients respond to initial amphotericin B therapy. In patients with AIDS, life-long suppressive itraconazole therapy following induction therapy with amphotericin B appears to be necessary to control infection.

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Patient Education

Patients with all forms of sporotrichosis must be educated about the need for protracted antifungal therapy.

Multiple sporotrichosis infections can occur in the same patient, suggesting that protective immunity may not always result from treated infection. Instruct patients with persistent occupational or avocational exposure about methods of prevention.

For excellent patient education resources, visit eMedicineHealth's Infections Center. Also, see eMedicineHealth's patient education article Sporotrichosis.

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