Korean J Fam Med.  2018 Mar;39(2):126-129. 10.4082/kjfm.2018.39.2.126.

A Diabetic Elderly Man with Finger Ulcer

Affiliations
  • 1School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia. mnoraini@usm.my
  • 2Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
  • 3Dermatology Department, Hospital Raja Perempuan Zainab 2, Kelantan, Malaysia.

Abstract

Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised status. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.

Keyword

Sporotrichosis; Ulcer; Itraconazole; Diabetes Mellitus

MeSH Terms

Aged*
Animals
Biopsy
Cats
Diabetes Mellitus
Diagnosis, Differential
Fingers*
Humans
Itraconazole
Prevalence
Skin
Sporothrix
Sporotrichosis
Ulcer*
Itraconazole
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