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Childhood Sporotrichosis

John W. Chandler Jr, MD; Robert L. Kriel, MD; Fred E. Tosh, MD
Am J Dis Child. 1968;115(3):368-372. doi:10.1001/archpedi.1968.02100010370013.
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SPOROTRICHOSIS is commonly characterized by a painless, slowly healing, ulcerative lesion, usually with secondary nodules along the lymphatic drainage of the site of the primary lesion. It is potentially a systemic disease; however, disseminated and pulmonary forms of the disease are infrequent.

The first case of sporotrichosis with cultural confirmation was reported by Schenck1 in 1898. Between 1927 and 1944, almost 3,000 cases of sporotrichosis were reported in gold mines of South Africa.2 In the United States, reported cases have been widespread; however, most of these cases have been from the Mississippi River Valley.3,4 Most cases have occurred in nursery and tree farm personnel and several of them have been traced to contact with contaminated sphagnum moss.5

Reports of the disease in children are few. Garrett and Robbins6 reported an outbreak of eight cases in a single residence in Juarez, Mexico, including five children. Gluckman

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