Rev Iberoam Micol
2008; 25:54-56.
Infectious arthritis as the single manifestation of sporotrichosis:
Serology from serum and synovial fluid samples as an aid to diagnosis
Rosane Orofino Costa1, Karlos Celso de Mesquita2, Patrícia S.
Damasco1, Andréa Reis Bernardes-Engemann3, Claudia Maria P.
Dias1, Ione C. Silva1 & Leila M. Lopes-Bezerra3
1Serviço de Dermatologia, Laboratório de Micologia and
2Serviço de Ortopedia, Hospital Universitário Pedro
Ernesto, UERJ; Rio de Janeiro, Brasil; 3Laboratório de Micologia
Celular e Proteômica, Departamento de
Biologia Celular e Genética, Instituto de Biologia Roberto
Alcantara Gomes, UERJ, Rio de Janeiro, Brasil
Sporotrichosis is a generally cutaneous, granulomatous, chronic and
benign infection. Less frequently the disease may affect the joints.
Articular involvement is usually characterized by monoarthritis in the
absence of systemic symptoms, generally preceded by skin lesions, and
frequently
affects immunosuppressed individuals. We describe here the case of a
healthy
patient presenting knee arthritis without skin lesions, diagnosed as
sporotrichosis, and treated with oral itraconazole. Serology used in
this case was an
invaluable tool for the diagnosis of sporotrichosis arthritis lacking
skin lesions.
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