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Sporotrichosis (Rose Gardener's Disease)

Sporothrix mycosis acquired through skin trauma with lymphatic spread

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Internal Medicine department. Book Appointment →

What is Sporotrichosis (Rose Gardener's Disease)?

Sporotrichosis is a chronic subcutaneous fungal infection caused by Sporothrix schenckii and related species. The organism is found in soil, plant debris and rose thorns and is inoculated into the skin through trauma.

It is classically known as 'rose gardener's disease'. The lymphocutaneous form is most common, beginning with a nodule at the inoculation site followed by chains of nodules along the lymphatic vessels.

Less common forms are fixed cutaneous, disseminated cutaneous, pulmonary and systemic. Systemic involvement is more frequent in immunocompromised patients. Treatment is itraconazole; severe disease requires amphotericin B.

Symptoms

Small painless papule or nodule at the entry site
Chain of nodules along lymphatic channels
Ulceration of nodules
Chronic, slowly progressive course
Regional lymph node enlargement
Fever and myalgia in systemic disease
Cough and sputum in pulmonary forms

Risk Factors

Gardening and floriculture
Forestry work
Rose thorn pricks and similar trauma
Living in endemic regions
Immunosuppression
Alcohol use disorder

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent skin nodule following gardening activity
  • Spread of nodules along a lymphatic line
  • Ulcerated, non-healing skin lesions
  • Associated systemic symptoms
  • Any new skin lesion in a patient on immunosuppression

Treatment Methods

01
First-line itraconazole for 3-6 months
02
Liposomal amphotericin B in severe and systemic disease
03
Itraconazole maintenance therapy
04
Saturated solution of potassium iodide as alternative
05
Surgical drainage in selected cases
06
Trauma prevention and protective measures

Which Department to Visit?

You can visit our Enfeksiyon Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Enfeksiyon Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.