Document 0329 DOCN M9440329 TI Therapy of sporotrichosis. DT 9404 AU Mercurio MG; Elewski BE; Department of Dermatology, University Hospitals of Cleveland,; Case Western Reserve University, OH 44106. SO Semin Dermatol. 1993 Dec;12(4):285-9. Unique Identifier : AIDSLINE MED/94145860 AB Sporotrichosis is a fungal infection caused by the dimorphic organism, Sporothrix schenkii. This etiologic agent typically gains entrance into the skin by traumatic implantation of infected soil or plant materials. The majority of cases are of the fixed cutaneous or lymphangitic cutaneous varieties, and less commonly, hematogenous dissemination to skin or viscera occurs. Untreated, the disease may spontaneously resolve or persist and gradually progress over time, its virulence being less than that of other dimorphic fungi. Potassium iodide remains a favored treatment for uncomplicated cutaneous disease. Amphotericin B, with its high toxicity, has historically been reserved for recalcitrant cutaneous or disseminated disease. Itraconazole, the newest triazole antifungal to become available in the United States, seems to be highly effective against Sporothrix schenkii without significant adverse effects and will likely become the first line therapy for all forms of this disease in the future. DE Amphotericin B/THERAPEUTIC USE Antifungal Agents/THERAPEUTIC USE AIDS-Related Opportunistic Infections/COMPLICATIONS Diagnosis, Differential Heat/THERAPEUTIC USE Human Potassium Iodide/THERAPEUTIC USE Risk Factors *Sporotrichosis/COMPLICATIONS/DIAGNOSIS/MICROBIOLOGY/THERAPY JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).