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Korean J Fam Med. 2018 Mar;39(2):126-129. English. Case Report. https://doi.org/10.4082/kjfm.2018.39.2.126
Mohamad N , Badrin S , Wan Abdullah WN .
School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia. mnoraini@usm.my
Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Dermatology 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.

Copyright © 2019. Korean Association of Medical Journal Editors.