Molluscum-like lesions in a patient with sporotrichosis * Lesões molusco-símiles em paciente com esporotricose

6 Abstract: Sporotrichosis is a subcutaneous fungal infection caused by Sporothrix schenckii and acqui- red by direct inoculation. Although the majority of cases consist of the classic lymphocutaneous presen- tation, the frequency of atypical and severe clinical forms of the disease has increased progressively. Systemic and disseminated cutaneous sporotrichosis constitute rare variants and such cases are gene- rally associated with cellular immunodeficiency or debilitated states. The present paper describes the first published case of molluscum-like lesions in disseminated mucocutaneous sporotrichosis. Direct mycological examination and histopathology revealed numerous yeast cells. Keywords: Itraconazole; Mycoses; Molluscum contagiosum; Sporotrichosis Resumo: Esporotricose e uma infeccao fungica subcutânea, adquirida por inoculacao direta, causada pelo Sporothrix schenckii. Embora a apresentacao classica linfocutânea represente a maioria dos casos, as formas clinicas atipicas e graves tem aumentado em ocorrencia. Esporotricose sistemica e esporotri- cose cutânea disseminada sao variantes raras, usualmente associadas a imunodeficiencia celular ou a estados debilitantes. Relatamos o primeiro caso na literatura de lesoes molusco-similes em esporotrico- se cutaneomucosa multipla. Os exames micologico direto e histopatologico apresentavam-se ricos em celulas leveduriformes. Palavras-chave: Esporotricose; Itraconazol; Micoses; Molusco contagioso