Fixed cutaneous sporotrichosis in an adolescent boy: a case report.

We present a case of an adolescent boy with a 3-week history of 3 painless purulent erythematous ulcers with raised hyperkeratotic borders associated with regional lymphadenopathy on the medial aspect of the right antecubital fossa. There were no known initiating factors and no other significant associated signs or symptoms. The patient initially was treated with antibiotics, with no improvement. Bacterial and fungal cultures of biopsy specimens demonstrated the presence of Sporothrix schenckii and confirmed the diagnosis of sporotrichosis. Itraconazole was initiated with an appropriate response. This case demonstrates the importance of understanding the clinical presentation of sporotrichosis in children without a history of the disease.