Sporotrichosis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
As sporotrichosis manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. | As sporotrichosis manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. Forms of cutaneous sporotrichosis must be differentiated from other diseases that cause lesions, such as cutaneous leishmaniasis and mycobacteriosis, while the various forms of extracutaneous sporotrichosis must be differentiated from other diseases with similar clinical manifestations. For example, pulmonary sporotrichosis must be differentiated from other diseases that attack the lungs, such as coccidioidomycosis and histoplasmosis, whereas osteoarticular sporotrichosis must be distinguished from diseases that affect the bones and joints, such as chronic bacterial osteomyelitis. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Sporotrichosis manifests through a broad range of clinical symptoms shared with multiple different diseases, causing misdiagnosis to be common.<ref name="pmid25614735">{{cite journal| author=Mahajan VK| title=Sporotrichosis: an overview and therapeutic options. | journal=Dermatol Res Pract | year= 2014 | volume= 2014 | issue= | pages= 272376 | pmid=25614735 | doi=10.1155/2014/272376 | pmc=PMC4295339 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25614735 }} </ref> | Sporotrichosis manifests through a broad range of clinical symptoms shared with multiple different diseases, causing misdiagnosis to be common.<ref name="pmid25614735">{{cite journal| author=Mahajan VK| title=Sporotrichosis: an overview and therapeutic options. | journal=Dermatol Res Pract | year= 2014 | volume= 2014 | issue= | pages= 272376 | pmid=25614735 | doi=10.1155/2014/272376 | pmc=PMC4295339 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25614735 }} </ref> Sporotrichosis must be differentiated from: | ||
Sporotrichosis must be differentiated from: | |||
*Atypical mycobacteriosis | *Atypical mycobacteriosis | ||
*Bacterial and fungal [[pneumonia]] | *Bacterial and fungal [[pneumonia]] | ||
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*[[Candidiasis]] | *[[Candidiasis]] | ||
*[[Chromoblastomycosis]] | *[[Chromoblastomycosis]] | ||
*Chronic bacterial [[osteomyelitis]] | |||
*[[Coccidioidomycosis]] | |||
*[[Cutaneous leishmaniasis]]<ref name="pmid15589796">{{cite journal| author=de Lima Barros MB, Schubach A, Francesconi-do-Valle AC, Gutierrez-Galhardo MC, Schubach TM, Conceição-Silva F et al.| title=Positive Montenegro skin test among patients with sporotrichosis in Rio De Janeiro. | journal=Acta Trop | year= 2005 | volume= 93 | issue= 1 | pages= 41-7 | pmid=15589796 | doi=10.1016/j.actatropica.2004.09.004 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15589796 }} </ref> | *[[Cutaneous leishmaniasis]]<ref name="pmid15589796">{{cite journal| author=de Lima Barros MB, Schubach A, Francesconi-do-Valle AC, Gutierrez-Galhardo MC, Schubach TM, Conceição-Silva F et al.| title=Positive Montenegro skin test among patients with sporotrichosis in Rio De Janeiro. | journal=Acta Trop | year= 2005 | volume= 93 | issue= 1 | pages= 41-7 | pmid=15589796 | doi=10.1016/j.actatropica.2004.09.004 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15589796 }} </ref> | ||
*Cutaneous tuberculosis | *Cutaneous tuberculosis | ||
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*[[Leishmaniasis]] | *[[Leishmaniasis]] | ||
*[[Leprosy]] | *[[Leprosy]] | ||
*''Mycobacterium avium-intracellulare'' complex infection<ref>Guerrant R, Walker D, Weller P. ''Tropical Infectious Diseases''. Edinburgh: Saunders/Elsevier; 2011:603-607.</ref> | |||
*Mycobacterium marinum | *Mycobacterium marinum | ||
*[[Nocardiosis]] | *[[Nocardiosis]] | ||
Revision as of 16:58, 27 January 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Alison Leibowitz [2]
Overview
As sporotrichosis manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. Forms of cutaneous sporotrichosis must be differentiated from other diseases that cause lesions, such as cutaneous leishmaniasis and mycobacteriosis, while the various forms of extracutaneous sporotrichosis must be differentiated from other diseases with similar clinical manifestations. For example, pulmonary sporotrichosis must be differentiated from other diseases that attack the lungs, such as coccidioidomycosis and histoplasmosis, whereas osteoarticular sporotrichosis must be distinguished from diseases that affect the bones and joints, such as chronic bacterial osteomyelitis.
Differential Diagnosis
Sporotrichosis manifests through a broad range of clinical symptoms shared with multiple different diseases, causing misdiagnosis to be common.[1] Sporotrichosis must be differentiated from:
- Atypical mycobacteriosis
- Bacterial and fungal pneumonia
- Blastomycosis
- Candidiasis
- Chromoblastomycosis
- Chronic bacterial osteomyelitis
- Coccidioidomycosis
- Cutaneous leishmaniasis[2]
- Cutaneous tuberculosis
- Erythema nodosum
- Foreign body granulomas
- Histoplasmosis
- Leishmaniasis
- Leprosy
- Mycobacterium avium-intracellulare complex infection[3]
- Mycobacterium marinum
- Nocardiosis
- Paracoccidioidomycosis
- Pinta
- Rheumatoid arthritis
- Sarcoidosis
- Staphylococcal infections
- Syphilis
- Tuberculosis
- Tularemia
- Yaws[1]
References
- ↑ 1.0 1.1 Mahajan VK (2014). "Sporotrichosis: an overview and therapeutic options". Dermatol Res Pract. 2014: 272376. doi:10.1155/2014/272376. PMC 4295339. PMID 25614735.
- ↑ de Lima Barros MB, Schubach A, Francesconi-do-Valle AC, Gutierrez-Galhardo MC, Schubach TM, Conceição-Silva F; et al. (2005). "Positive Montenegro skin test among patients with sporotrichosis in Rio De Janeiro". Acta Trop. 93 (1): 41–7. doi:10.1016/j.actatropica.2004.09.004. PMID 15589796.
- ↑ Guerrant R, Walker D, Weller P. Tropical Infectious Diseases. Edinburgh: Saunders/Elsevier; 2011:603-607.