Sporotrichosis physical examination

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Sporotrichosis Microchapters

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical examination

Appearance of the Patient

Vital Signs

Skin

Cutaneous:

  • Initial nodular lesion at inoculation site
    • Small and painless
    • Pink to purple coloration
    • Plaque
    • Erythema
  • Nodular lesion grows when left untreated
    • Boil-like
    • Ulceration
    • Drainage
  • Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. 

Disseminated Cutaneous:

  • Subcutaneous mass lesions
  • Diffuse purplish nodules
  • Disseminated, ulcerating lesions

HEENT

Lungs

  • pulmonary sporotrichosis:
    • productive coughing
    • nodules and cavitations of the lungs
    • fibrosis
    • swollen hilar lymph nodes.

Extremities

  • Cutaneous sporotrichosis lesions are characteristic to upper extremities
    • Lesions on fingers
    • Lesions on arms
    • Lesions on hands

Neuromuscular

  • Patient is usually oriented to persons, place, and time.


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References