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Sporotrichosis by Sporothrix schenckii senso stricto with itraconazole resistance and terbinafine sensitivity observed in vitro and in vivo: Case report.


ABSTRACT: We report a case of a patient with lymphocutaneous sporotrichosis in the right upper limb. The fungus was identified as Sporothrix schenckii senso stricto by calmodulin gene sequencing. The initial treatment was itraconazole (200 mg/day), but in vitro antifungal susceptibility demonstrated high resistant to this and another six antifungals, with exception to terbinafine. The lesions did not regress with itraconazole treatment. Thus, 500 mg/day of terbinafine was prescribed and clinical cure was obtained after four months.

SUBMITTER: Vettorato R 

PROVIDER: S-EPMC5711665 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Sporotrichosis by <i>Sporothrix schenckii</i> senso stricto with itraconazole resistance and terbinafine sensitivity observed <i>in vitro</i> and <i>in vivo</i>: Case report.

Vettorato Rodrigo R   Heidrich Daiane D   Fraga Fernanda F   Ribeiro Amanda Carvalho AC   Pagani Danielle Machado DM   Timotheo Carina C   Amaro Tais Guarienti TG   Vettorato Gerson G   Scroferneker Maria Lúcia ML  

Medical mycology case reports 20171028


We report a case of a patient with lymphocutaneous sporotrichosis in the right upper limb. The fungus was identified as <i>Sporothrix schenckii</i> senso stricto by calmodulin gene sequencing. The initial treatment was itraconazole (200 mg/day), but <i>in vitro</i> antifungal susceptibility demonstrated high resistant to this and another six antifungals, with exception to terbinafine. The lesions did not regress with itraconazole treatment. Thus, 500 mg/day of terbinafine was prescribed and clin  ...[more]

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