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KMID : 1100920180390020126
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Korean Journal of Family Medicine
2018 Volume.39 No. 2 p.126 ~ p.129
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A Diabetic Elderly Man with Finger Ulcer
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Mohamad Noraini
Badrin Salziyan
Abdullah Wan Noor Hasbee Wan
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Abstract
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Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised status. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.
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KEYWORD
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Sporotrichosis, Ulcer, Itraconazole, Diabetes Mellitus
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