This is a photo of right eye oculoglandular syndrome likely secondary to fungal sporotrichosis. Patient’s initial presentation was mimic preseptal cellulitis and was treated with IV Antibiotic. However, symptoms not improved and yet worsening. Biopsy of right upper eyelid mass was taken and send for investigation. Fungal DNA detected and grew sporothrix schenckii complex. ID team started PO Itraconazole. 1 month later, patient started to have minimal painful nodules over left forearm and leg. Dermato team then diagnosed patient with disseminated cutaneous sporotrichosis with possible infection related panniculitis.
Antifungal therapy is the mainstay of treatment for all forms of sporotrichosis. The rare cases of life-threatening, visceral, or disseminated infection require therapy with intravenous amphotericin B, which is also used in patients who do not respond to itraconazole.