Volume 5 • Issue 10 • 1000352 Open Access Case Report J AIDS Clin Res ISSN: 2155-6113 JAR an open access journal Esteves et al., J AIDS Clin Res 2014, 5:10 http://dx.doi.org/10.4172/2155-6113.1000352 AIDS & Clinical Research Disseminated Cutaneous Sporotrichosis in an Immunosuppressed Patient Paola Machado Gomes Esteves 1 , Beatriz Moritz Trope 1 , Marcella Gramigna Magalhaes Barbalho 1 , Tyomi Akiti 2 and Marcia Ramos-e-Silva 1 * 1 Sector of Dermatology and Post-Graduation Course – University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil 2 Mycologist, Mycology Laboratory, University Hospital and School of Medicine, Federal University of Rio de Janeiro *Corresponding author: Marcia Ramos-e-Silva, Sector of Dermatology and Post-Graduation Course – University Hospital and School of Medicine, Federal University of Rio de Janeiro, Rua Dona Mariana 143 / C-32, Botafogo 22280- 020, Rio de Janeiro Brazil, Tel: 55-21-999852696; Fax: 55-21-22864632; E-mail: ramos.e.silva@dermato.med.br Received June 20, 2014; Accepted September 20, 2014; Published September 29, 2014 Citation: Esteves PMG, Trope BM, Barbalho MGM, Akiti T, Ramos-e-Silva M (2014) Disseminated Cutaneous Sporotrichosis in an Immunosuppressed Patient. J AIDS Clin Res 5: 352. doi:10.4172/2155-6113.1000352 Copyright: © 2014 Esteves PMG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Keywords: Sporotrichosis; Sporothrix; Immunosuppression Introduction e case presented exemplifies disseminated cutaneous sporotrichosis, affecting an immunocompromised individual. is disease is a subacute or chronic infection caused by the Sporothrix complex [1,2]. It is a primary cutaneous infection with different clinical forms: disseminated by lymphatic vessels, the most frequent, localized cutaneous, disseminated cutaneous and rarely extracutaneous form. e cutaneous disseminated and systemic forms of sporotrichosis are considered very severe opportunistic infections and usually occur in immunodepressed patients [2]. It is endemic in Rio de Janeiro, Brazil, where transmitted mainly by traumatic skin inoculation, as can occur with owners and professionals leading with cats [3]. Several cases have been reported to be associated with HIV [1,4]. Case Report A 30-years-old black man presented ulcero-crusted disseminated cutaneous lesions associated to dysphagia for around three months. He referred loss of weight, odynophagia, productive cough and aſternoon fever for the past six months. When asked, the patient stated he did not have any contact with animals, including cats, or worked with plants. On examination, he showed ulcero-crusted round lesions. ey were individualized, non-confluent affecting the face (Figure 1), upper and lower limbs, antero-posterior trunk (Figure 2) and nasal and oral mucosa. (Figure 3) e main differential diagnoses were: systemic mycosis, cutaneous tuberculosis, cytomegalovirosis, atypical Abstract The authors present a case of sporotrichosis, a systemic fungal infection frequently observed in Rio de Janeiro, where nowadays most cases are transmitted by cats. The disseminated cutaneous form, as seen in our patient, is rare and shows multiple cutaneous lesions. This form is almost always associated with immunosuppression, as the case we present, who was diagnosed as HIV+ during the diagnostic evaluation of the mycosis. Figure 1: Lesions on the left side of the face. Figure 2: Lesions on the right side of the face. Figure 3: Lesions on the left arm and trunk.