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December 1972

Facial Sporotrichosis During Pregnancy: A Therapeutic Dilemma

Author Affiliations

Kansas City, Kan

From the Section of Infectious Diseases, Department of Medicine, University of Kansas School of Medicine, Kansas City.

Arch Intern Med. 1972;130(6):910-912. doi:10.1001/archinte.1972.03650060100018

The frequency of potentially dangerous fungal infections during gestation is unknown, and there is little information which documents the effects of such infections, with or without treatment, on the mother and the fetus. Disseminated coccidioidomycosis1,2 and cryptococcal meningitis3 have been reported during pregnancy. Mohr and Muchmore have described a persistent infection due to Allescheria boydii which improved during each of three pregnancies.4 Plauche5 reported an infection of the right leg due to Sporotrichum schenckii, developing before conception and lasting until after delivery.

This report presents our observations on a young housewife who developed facial sporotrichosis during the first trimester of pregnancy. Local applications of heat appeared to be beneficial, and healing ensued without drug therapy.

Report of a Case  A 22-year-old white woman was admitted to the University of Kansas Medical Center on June 23,1968, for evaluation of a facial lesion. She had been well until