249.3 📌 章末速蚘

249.3.0.0.1 Sporotrichosis
  • Sporothrix; rose gardener / cat (Brazil); lymphocutaneous chain pattern; itraconazole × 3-6 mo
249.3.0.0.2 Chromoblastomycosis
  • Dematiaceous fungi; tropical; verrucous lesion + sclerotic bodies; itraconazole + terbinafine
249.3.0.0.3 Mycetoma
  • Tumor + sinus tracts + grains
  • Eumycetoma (Madurella) — itraconazole + surgery
  • Actinomycetoma (Nocardia) — TMP-SMX + dapsone
249.3.0.0.4 盧醫垫 hint
  • Rose gardener / cat handler + lymphocutaneous nodules → sporotrichosis
  • Tropical traveler / agriculture + verrucous skin → chromoblastomycosis (Medlar bodies)
  • Madura foot tumor + sinus tracts → mycetoma; grain color distinguishes eumycetoma vs actinomycetoma