PURPOSE: To describe 26 cases of bulbar conjunctival sporotrichosis. METHODS: Review of clinical records of patients with bulbar conjunctivitis due to culture-proven Sporothrix spp. infection, in Rio de Janeiro, from 2007 to 2017. RESULTS: Twenty-six patients were identified. Median age was 25 years. Adults were more affected (53.8%), followed by adolescents (26.9%). There was a predominance of women (73.1%). Twenty-four patients (96%) reported contact with cats with sporotrichosis. Twenty-one patients (80.8%) presented a primary ocular sporotrichosis. Five patients presented associated eyelid lesions, and 21 (80.8%) tarsal conjunctivitis. Parinaud oculoglandular syndrome was observed in 17 (81%) patients. Eight patients (36.4%) reported the use of steroid drops before diagnosis was made. All patients but one were treated with oral itraconazole. Twenty-three patients (88.5%) were completely cured and three (11.5%) were lost to follow-up. Eight patients (34.8%) developed ocular sequelae. CONCLUSION: Bulbar conjunctivitis is an important clinical presentation of ocular sporotrichosis. It can lead to ocular sequelae. Sporotrichosis should be considered in the differential diagnosis of ophthalmic external diseases, especially in patients with cat contact history.
PURPOSE: To describe 26 cases of bulbar conjunctival sporotrichosis. METHODS: Review of clinical records of patients with bulbar conjunctivitis due to culture-proven Sporothrix spp. infection, in Rio de Janeiro, from 2007 to 2017. RESULTS: Twenty-six patients were identified. Median age was 25 years. Adults were more affected (53.8%), followed by adolescents (26.9%). There was a predominance of women (73.1%). Twenty-four patients (96%) reported contact with cats with sporotrichosis. Twenty-one patients (80.8%) presented a primary ocular sporotrichosis. Five patients presented associated eyelid lesions, and 21 (80.8%) tarsal conjunctivitis. Parinaud oculoglandular syndrome was observed in 17 (81%) patients. Eight patients (36.4%) reported the use of steroid drops before diagnosis was made. All patients but one were treated with oral itraconazole. Twenty-three patients (88.5%) were completely cured and three (11.5%) were lost to follow-up. Eight patients (34.8%) developed ocular sequelae. CONCLUSION: Bulbar conjunctivitis is an important clinical presentation of ocular sporotrichosis. It can lead to ocular sequelae. Sporotrichosis should be considered in the differential diagnosis of ophthalmic external diseases, especially in patients with cat contact history.
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: 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: John A Rossow; Flavio Queiroz-Telles; Diego H Caceres; Karlyn D Beer; Brendan R Jackson; Jose Guillermo Pereira; Isabella Dib Ferreira Gremião; Sandro Antonio Pereira Journal: J Fungi (Basel) Date: 2020-10-26