Max Carlos Ramírez Soto1. 1. Unidad de Postgrado, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru. Electronic address: maxcrs22@gmail.com.
Abstract
PURPOSE: To describe the clinical and epidemiologic characteristics of sporotrichosis in ocular adnexa and give an insight into factors associated with this condition. DESIGN: Retrospective case series and literature review. METHODS: We retrospectively reviewed all cases of sporotrichosis in ocular adnexa between 2004 and 2014 in the Santa Teresa Clinic of Abancay, Peru and reviewed all case reports of sporotrichosis in ocular adnexa in the literature. RESULTS: We reviewed records of 21 patients with sporotrichosis in ocular adnexa; 12 (57.1%) of them were male and their median age surrounded 9 years. In our series, 19 patients had lesions in the eyelids and 2 in the eyebrows. The lymphocutaneous form occurred in 62% of them. Ten patients (47.6%) were cured with potassium iodide. Among 65 patients with sporotrichosis in ocular adnexa (our 21 patients and 44 from the literature), the average age was 9 years, and 78% were ≤15 years of age; 54% were male. The lesions were more frequent on the eyelids (n = 53 [82%]), followed by the lacrimal gland (n = 5), conjunctiva (n = 4), and eyebrows (n = 3). The lymphocutaneous clinical form (54%) was the most frequent. Fifty patients were cured: 31 of them with potassium iodide, 16 with itraconazole, and 3 with a combination including potassium iodide, itraconazole, and fluconazole. Twenty-nine patients (44.6%) resided in a hyperendemic region, and 5 patients reported contact with cats that had sporotrichosis. CONCLUSIONS: Sporotrichosis in ocular adnexa is associated with children ≤15 years of age, and in 82% of these cases the disease is limited to the eyelids.
PURPOSE: To describe the clinical and epidemiologic characteristics of sporotrichosis in ocular adnexa and give an insight into factors associated with this condition. DESIGN: Retrospective case series and literature review. METHODS: We retrospectively reviewed all cases of sporotrichosis in ocular adnexa between 2004 and 2014 in the Santa Teresa Clinic of Abancay, Peru and reviewed all case reports of sporotrichosis in ocular adnexa in the literature. RESULTS: We reviewed records of 21 patients with sporotrichosis in ocular adnexa; 12 (57.1%) of them were male and their median age surrounded 9 years. In our series, 19 patients had lesions in the eyelids and 2 in the eyebrows. The lymphocutaneous form occurred in 62% of them. Ten patients (47.6%) were cured with potassium iodide. Among 65 patients with sporotrichosis in ocular adnexa (our 21 patients and 44 from the literature), the average age was 9 years, and 78% were ≤15 years of age; 54% were male. The lesions were more frequent on the eyelids (n = 53 [82%]), followed by the lacrimal gland (n = 5), conjunctiva (n = 4), and eyebrows (n = 3). The lymphocutaneous clinical form (54%) was the most frequent. Fifty patients were cured: 31 of them with potassium iodide, 16 with itraconazole, and 3 with a combination including potassium iodide, itraconazole, and fluconazole. Twenty-nine patients (44.6%) resided in a hyperendemic region, and 5 patients reported contact with cats that had sporotrichosis. CONCLUSIONS:Sporotrichosis in ocular adnexa is associated with children ≤15 years of age, and in 82% of these cases the disease is limited to the eyelids.
Authors: Rigoberto Hernández-Castro; Rodolfo Pinto-Almazán; Roberto Arenas; Carlos Daniel Sánchez-Cárdenas; Víctor Manuel Espinosa-Hernández; Karla Yaeko Sierra-Maeda; Esther Conde-Cuevas; Eder R Juárez-Durán; Juan Xicohtencatl-Cortes; Erika Margarita Carrillo-Casas; Jimmy Steven-Velásquez; Erick Martínez-Herrera; Carmen Rodríguez-Cerdeira Journal: J Fungi (Basel) Date: 2022-05-30
Authors: João Paulo M Yamagata; Fabiana B Rudolph; Maria Clara L Nobre; Leninha V Nascimento; Felipe Maurício S Sampaio; Andrea Arinelli; Dayvison F Freitas Journal: Am J Ophthalmol Case Rep Date: 2017-09-23
Authors: Aline M F Matos; Lucas M Moreira; Bianca F Barczewski; Lucas X de Matos; Jordane B V de Oliveira; Maria Ines F Pimentel; Rodrigo Almeida-Paes; Murilo G Oliveira; Tatiana C A Pinto; Nelson Lima; Magnum de O Matos; Louise G de M E Costa; Cledir Santos; Manoel Marques Evangelista Oliveira Journal: Microorganisms Date: 2019-12-21
Authors: Alejandro Etchecopaz; María A Toscanini; Amelia Gisbert; Javier Mas; Miguel Scarpa; Cristina A Iovannitti; Karla Bendezú; Alejandro D Nusblat; Ricardo Iachini; María L Cuestas Journal: J Fungi (Basel) Date: 2021-02-26
Authors: Joaquín Felipe Ramírez-Oliveros; Regina Casz Schechtman; Henry John de Vries; Leonardo Lora; Andrea Cardoso Arinelli; José Augusto da Costa Nery; Dayvison Francis Saraiva Freitas Journal: JAAD Case Rep Date: 2021-04-28