Subedi S; Kidd SE; Baird, Robert; Coatsworth N; Ralph, Anna

Author(s)

Subedi S

Kidd SE

Baird, Robert

Coatsworth N

Ralph, Anna

Publication Date

2014-12

Abstract

We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported.

Affiliation

National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia subedi_82@yahoo.com..

National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia..

Citation

Subedi, S., Kidd, S. E., Baird, R. W., Coatsworth, N., & Ralph, A. P. (2014). Case report: Sporotrichosis from the Northern Territory of Australia. The American journal of tropical medicine and hygiene, 91(6), 1263–1268. https://doi.org/10.4269/ajtmh.14-0456

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/25200259/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/5562

MESH subject

Antifungal Agents

Humans

Itraconazole

Male

Middle Aged

Northern Territory

Sporotrichosis

Title

Case report: Sporotrichosis from the Northern Territory of Australia.

Type of document

Journal Article

Entity Type

Publication

Author(s)	Subedi S Kidd SE Baird, Robert Coatsworth N Ralph, Anna
Publication Date	2014-12
Abstract	We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported.
Affiliation	National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia subedi_82@yahoo.com.. National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.. National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.. National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.. National Mycology Reference Center, SA Pathology, Adelaide, South Australia; Royal Darwin Hospital, Microbiology, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Department of Medicine, Royal Darwin Hospital, Northern Territory, Australia; Global Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia..
Citation	Subedi, S., Kidd, S. E., Baird, R. W., Coatsworth, N., & Ralph, A. P. (2014). Case report: Sporotrichosis from the Northern Territory of Australia. The American journal of tropical medicine and hygiene, 91(6), 1263–1268. https://doi.org/10.4269/ajtmh.14-0456
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/25200259/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/5562
MESH subject	Antifungal Agents Humans Itraconazole Male Middle Aged Northern Territory Sporotrichosis
Title	Case report: Sporotrichosis from the Northern Territory of Australia.
Type of document	Journal Article
Entity Type	Publication

Case report: Sporotrichosis from the Northern Territory of Australia.

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