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Correspondence |

Sporotrichoid Staphylococcus aureus Infection in an Immunosuppressed Patient

Erick Jacobson-Dunlop, MD; Rodd Takiguchi, MD; Thomas Ward, MD; Penelope Barnes, MD; Jennifer Becker, MD; Clifton R. White Jr, MD; Kevin P. White, MD
Arch Dermatol. 2010;146(12):1438-1439. doi:10.1001/archdermatol.2010.366.
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Sporotrichoid lymphangitis, or ascending spread of cutaneous nodular lesions in the distribution of the draining lymphatics, is a well-known clinical pattern with various pathogenic causes. Rare among these pathogens, however, are pyogenic bacteria.1 We report a case of sporotrichoid lymphangitis due to Staphylococcus aureus in a patient undergoing immunosuppressive therapy for dermatomyositis.

Kostman  JRDiNubile  MJ Nodular lymphangitis: a distinctive but often unrecognized syndrome. Ann Intern Med 1993;118 (11) 883- 888
PubMed Link to Article[[XSLOpenURL/10.7326/0003-4819-118-11-199306010-00009]]
Lieberman  AAGrossman  MEBloomgarden  D Sporotrichoid lymphangitis due to Staphylococcus aureus in a diabetic patient. Clin Infect Dis 1995;21 (2) 433- 434
PubMed Link to Article[[XSLOpenURL/10.1093/clinids/21.2.433]]
Tanaka  SMochizuki  TWatanabe  S Sporotrichoid pyogenic bacterial infection. Dermatologica 1989;178 (4) 228- 230
PubMed Link to Article[[XSLOpenURL/10.1159/000248434]]
Saenz  CSanders  CVNguyen  BPReisin  E Macronodular lesions associated with Staphylococcus aureus bacteremia: a condition that resembles a ‘lymphocutaneous’ syndrome. Arch Intern Med 1987;147 (4) 793
PubMed Link to Article[[XSLOpenURL/10.1001/archinte.1987.00370040175032]]
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Figure 1.

Painful red nodules first erupted on the right hand and progressed in a linear fashion to the right axilla.

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Figure 2.

Histopathologic specimens from patient nodules. A and B, Nodular suppurative and granulomatous infiltrate with associated hemorrhage in the deep reticular dermis (hematoxylin-eosin, original magnifications ×25 [A] and ×200 [B]). Gram stain revealed gram-positive cocci in clusters (arrows) within the nodular infiltrate (original magnification ×400).

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