Posters

Ocular and cutaneous sporotrichosis

Poster Details

First Author: D.Chianello BRAZIL

Co Author(s):    C. Estacia   A. Gameiro Filho   M. Alves              

Abstract Details

Purpose:

To report a case of ocular and cutaneous Sporotrichosis in a 13-year-old girl who presented facial skin nodules that had appeared one month before.

Setting:

Hospital Federal dos Servidores dos Estado, Rio de Janeiro, RJ, Brazil

Methods:

A case report of a 13-year-old girl without history of any systemic disease, complaining about nodules in the left malar region and lower eyelid of the left eye. The clinical examination showed the presence of a nodular lesion in the inner corner of the left eye, a lesion in the left lower eyelid with a granulomatous appearance and a similar lesion in left malar region. The patient also presented painless ipsilateral lymphadenopathy in both pre-auricular and anterior cervical chains. The slit-lamp examination showed, in the left eye, follicles in lower tarsal conjunctiva. The best-corrected visual acuity was 20/20.

Results:

Considering the epidemiological history and the clinical appearance of the lesions, the diagnosis of sporotrichosis was considered. A skin biopsy was performed and the specimens sent for histologic analysis. The culture was positive for Sporothrix brasiliensis. The diagnosis of ocular and cutaneous sporotrichosis was established, and Itraconazole 200 mg / day for 3 months was prescribed. The patient presented gradual and satisfactory improvement, until complete resolution, leaving only a small scar in the left malar region and in left eye inferior palpebral margin.

Conclusions:

Sporotrichosis is the most frequent subcutaneous mycosis in the world, more frequent in regions with tropical or subtropical climate, and its usually presented as the lymphocutaneous form. Involvement of the eye usually includes conjunctival and periorbital tissues or even intraocular tissue. The conjunctival nodules may be confused with hordeolum and chalazion, delaying the diagnosis in some cases. Parinaud’s oculoglandular syndrome occurs when granulomatous conjunctivitis is associated with ipsilateral lymphadenopathy. The diagnosis is based on clinical aspects, epidemiological history and culture. Ophthalmologists and other professionals should be aware of this condition, for early diagnosis and treatment, avoiding complications.

Financial Disclosure:

None