Resumen:
A 58-year-old male farmer from the Ancash region in the Peruvian highlands presented to the outpatient clinic with an ulcerated lesion on the left thumb and several nodular lesions on the left forearm. He sustained minor trauma from a wood splinter in his left thumb a month before presentation. Later, the wound ulcerated and started to drain serous fluid, with the subsequent appearance of multiple small, erythematous, and painless nodules in his left forearm. Some had undergone spontaneous suppuration with ensuing crusting. Culture of the aspirate from the nodular lesions was positive for Sporothrix schenckii by demonstrating dimorphism on enriched media. The colonies showed the characteristic bouquet-like microconidia in microscopy. The patient was started on itraconazole 200 mg daily for 3 months...