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Article
August 25, 1978

Disseminated Sporotrichosis

Author Affiliations

From the Program in Infectious Diseases and Clinical Microbiology, University of Texas Medical School at Houston (Drs Satterwhite, Kageler, Conklin, and DuPont), and the Diagnostic Clinic of Houston (Dr Portnoy), Houston.

JAMA. 1978;240(8):771-772. doi:10.1001/jama.1978.03290080061031
Abstract

EXTRACUTANEOUS sporotrichosis is an uncommon manifestation of this fungal infection. A patient with disseminated sporotrichosis had Sporotrichum schenckii in multiple sites, including skin, urine, bone marrow, and brain.

Report of a Case  A 60-year-old alcoholic man was admitted to the hospital with generalized weakness, progressive edema, ascites, and skin lesions. Two weeks before admission, he had noted painless erythematous lesions on his distal extremities that gradually became nodular and drained purulent bloody material. He had had no chills, fever, or headache.He drank a fifth of whiskey each day. During the previous five years, he had been found to have ascites, abnormal results of liver function studies, esophageal varices, enlarged liver with patchy isotope uptake shown by liver scan, and macrocytic anemia. He denied exposure to animals, gardening, or trips into fields or woods; there was no known trauma or insect bites to his skin.At the time of admission,

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