di
M. Leelavathi, M.A. Siti Aishah, Y.P. Wong, A. Jamil
Animal inflicted wounds, left untreated may result in chronic
bacterial or fungal infection. Clinical features of these infections may
overlap leading to a delay in diagnosis and treatment. We report a case
of chronic non-healing cat bite wound treated with several antibiotics
without improvement. Later patient developed the classical “sporotrichoid
spread” and a presumptive diagnosis of sporotrichosis was
made. Laboratory investigation for fungal culture and skin biopsy failed
to identify the underlying pathogen. A trial of oral antifungal agent
resulted in complete recovery of the lesions implicating fungus as the
causative pathogen. Physicians should have a high index of suspicion
for fungal infections when managing animal inflicted wounds. Clin
Ter 2013; 164(3):225-227. doi: 10.7417/CT.2013.1553
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