249 Ch 249. Sporotrichosis, Chromoblastomycosis, and Mycetoma

Sporothrix schenckii (“rose gardener’s disease”) — traumatic inoculation, lymphocutaneous spread; itraconazole treatment. Chromoblastomycosis: dematiaceous fungi (Fonsecaea, Cladophialophora), tropical, “sclerotic bodies” on histology; long itraconazole. Mycetoma: chronic granulomatous; eumycetoma (true fungi) vs actinomycetoma (filamentous bacteria — Nocardia); endemic Madurella + Streptomyces; sulfur granules + sinus tracts。