Background. Sporotrichosis is rarely encountered in European countries. We present a case of lymphocutaneous (lymphangitic) cutaneous sporotrichosis in an immuno-competent patient.
Case presentation. The 57-year-old patient is consulted for multiple, ulcerated nodular lesions arranged on the lymphatic pathway of the left upper limb. The patient works in Canada as a park ranger, coming into contact with soil and plants. Histopathological examination revealed deep granulomatous inflammation of epithelioid histiocytes and multinucleated giant cells in the deep dermis. Cultures in the Sabouraud environment identified colonies of Sporotrix schenckii. Oral treatment with itraconazole led to the healing of the lesions.
Discussion. The case presented is that of lympho-cutaneous sporotrichosis with a clinical characteristic appearance of layered nodules on the lymphatic trajectory of the drainage area of the spore inoculation site. The diagnosis of sporotrichosis is established by cultures performed on Sabouraud medium. The primary prevention of this anthropozoosis is based on wearing gloves in gardening, forestry or agricultural activities.