SPOROTRICHOSIS
	ORGANISM Dimorphic fungus Sporothrix schenkii Found on living plants, soil, plant debris, compost, timber, hay
	ENTRY TO THE BODY Puncture wound from a thorn or splinter contaminated with the fungus
	CLINICAL FEATURES After an incubation period (1 to 12 weeks) a red papule (bump) arises This resembles a boil This ulcerates, forming an open sore New lesions occur along the lymph channels Each of these may open into another ulcerated sore. Can remain localised or spread throughout body. Affects joints, and lungs, creating cavities in the lungs which lose function.
	RISK GROUPS Florists, gardeners, foresters at highest risk This form usually strikes men who have alcoholism or individuals with a condition which weakens the immune system
	INCIDENCE AND GLOBAL DISTRIBUTION Disease occurs throughout the world Most common subcutaneous mycotic disease in US. Commonest in alcoholic males Or those with weakened immunity
	DIAGNOSIS Culture the fungus from pus or fluid from an ulcerated sore culture from other infected areas, e.g. joint.
	TREATMENT AND PREVENTION If untreated, symptoms may come and go for years. When treated, the cure rate is high.. Oral anti-fungal agent itraconazole or potassium iodide solution drink Amphotericin B via IV in severe cases Wearing gloves and long sleeves when working risk materials.
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