Cat-Transmitted Sporotrichosis Epidemic in Rio de Janeiro, Brazil: Description of a Series of Cases

Mônica Bastos de Lima Barros, Mathuram; Armando de Oliveira Schubach, Mathuram; Antônio Carlos Francesconi do Valle, Mathuram; Maria Clara Gutierrez Galhardo, Mathuram; Fátima Conceição-silva, Mathuram; Tânia Maria Pacheco Schubach, Mathuram; Rosani Santos Reis, Mathuram; Bodo Wanke, Mathuram; Keyla Belizia Feldman Marzochi, Mathuram; Maria José Conceiçáo, Mathuram
February 2004
Clinical Infectious Diseases;2/15/2004, Vol. 38 Issue 4, p529
Academic Journal
Sporotrichosis is the most common subcutaneous mycosis in South America. Classic infection is associated with traumatic inoculation of soil, vegetables, and organic matter contaminated with Sporothrix schenckii. Zoonotic transmission has been described in isolated cases or in small outbreaks. Since 1998, we have been observing an increasing number of cases of sporotrichosis in persons from the city of Rio de Janeiro, Brazil, and surroundings. From 1998 to 2001, 178 cases of culture-proven sporotrichosis had been diagnosed. Female patients predominated, and the median age was 39 years. The most frequent clinical presentation was lym-phocutaneous disease. Of the 178 patients, 156 reported domiciliary or professional contact with cats with sporotrichosis, and 97 of these patients had a history of receipt of cat scratch or bite. The patients received itraconazole as first-line treatment. This study suggests that feline transmission of sporotrichosis was associated with a large and long-lasting outbreak of the disease in Rio de Janeiro.


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