• Rosa Monno, Gaetano Brindicci, Orazio Romeo, Elena De Carolis, Giuseppe Criseo, Maurizio Sanguinetti, Luciana Fumarola, Giuseppe Ingravallo, Michele Mariani, and Laura Monno.
• Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124, Bari, Italy. rosa.monno@uniba.it.
• Eur. J. Clin. Microbiol. Infect. Dis. 2020 Dec 1; 39 (12): 2457-2460.

AbstractAn autochthonous case of lymphocutaneous sporotrichosis caused by Sporothrix schenckii is reported. The patient developed skin lesions localized along the lymphatics that appeared after he suffered an injury while collecting wicker canes in marshy water. The fungus was identified as Sporothrix schenckii by MALDI-TOF and sequencing. Phylogenetic analysis was also performed. Low MIC values were detected for all tested echinocandins and azoles except for fluconazole. The patient was treated with itraconazole without significant improvement. A regression of lesions was observed after 3 months of therapy with voriconazole. Few cases of sporotrichosis have been reported in Europe. However, several cases of sporotrichosis have been described in Italy. The incidence of sporotrichosis in Italy may be underestimated and microbiologists, and clinicians must be aware of this fungal infection.

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