Disseminated, Subcutaneous, Gummatous, Ulcer-Ative Sporotrichosis (S. schenckii-beurmannii)
Sporotrichosis was first reported in America in 1898, by Schenck1, who, with J. E. Smith, isolated the fungus from ulcerative gummatous lesions on the hand and arm and classified it as Sporotrichum. In 1912 de Beurmann2 collected 200 cases from the world literature and published a comprehensive clinical, pathological, and bacteriological study of the disease. Since then many reports have appeared in the literature, among which Meyer3 in 1915 recorded 82 cases in the United States. In his tabulation, there is one case of human and eight cases of horse infection occurring in Ohio. In 1926 Foerster4 collected 148 cases, of which 130 occurred in the Mississippi and Missouri River Valleys. North and South Dakota, Wisconsin, Minnesota, Iowa, and Missouri present the greatest frequency of occurrence. Further search through the literature did not reveal additional cases of sporotrichosis reported from the State of Ohio. Very frequently sporotrichosis is not recognized until” it has progressed for many weeks or months. In this case, the diagnosis was made within twenty days after the appearance of the first lesion. Of further interest is the fact that no evidence or history of the portal of entry could be obtained. For these reasons it is believed that a report of this case would be of interest.
Report of Case
A white minister, 54 years of age, came to the Clinic on November 3, 1937, with disseminated, subcutaneous nodules and cutaneous ulcers which had been present for fifteen days. The first lesion was noticed on the. . .