Primary pulmonary sporotrichosis.

A patient with primary pulmonary sporotrichosis with infiltration and cavitation is reported. Treatment for one year with potassium iodide resulted in marked resolution of the inflammatory lesions but persistent cavitation and fungal infection. Cure followed bisegmental lung resection with no recurrence during eight-year follow-up. Excellent results are reported in 10 patients treated by resection despite less then optimal preoperative iodide therapy. Surgical treatment of primary sporotrichosis with cavitation is indicated and should be unattended by complications or recurrence.