Abstract
We report a case of fixed sporotrichosis in a 2-year-old girl who showed a reddish nodule on her left cheek for 1 year without trauma. Fungiflora-Y staining showed fungal elements from the exudate on the erosion of this nodule. Sporothrix schenckii was isolated from a culture of the fungus taken from the biopsy specimen. Treatment with itraconazole 4.5mg/kg/day for 16 weeks resulted in an atrophic scar after 2.1mg/kg/day for 8 weeks without side effects. Six months later, her eruption recurred and was treated with potassium iodide for 21 weeks with complete resolution. During the 1 year follow up period, there was no recurrence. Six cases of sporotrichosis in children including ours have been reported in Japan. Each case showed complete resolution and no recurrence. However, careful follow-up is believed to be necessary based on our case.
