A 46-year-old man arrives at the office with skin lesions on his left arm that have appeared in the last few days. The lesions are not extremely unpleasant. The patient has never experienced identical symptoms before. He has no fevers and generally appears to be in good health. Previous medical history is unimportant. The patient is not on any drugs and does not have any allergies. The temperature is 37.1 degrees Celsius (98.8 F). The lesions are depicted in the following picture. Following pathologic sampling, the lesions are determined to be fungal in etiology. Which of the following scenarios is most likely a component of this patient's history?

Question

A 46-year-old man arrives at the office with skin lesions on his left arm that have appeared in the last few days. The lesions are not extremely unpleasant. The patient has never experienced identical symptoms before. He has no fevers and generally appears to be in good health. Previous medical history is unimportant. The patient is not on any drugs and does not have any allergies. The temperature is 37.1 degrees Celsius (98.8 F). The lesions are depicted in the following picture.  Following pathologic sampling, the lesions are determined to be fungal in etiology.  Which of the following scenarios is most likely a component of this patient's history?

Quizplus · Accepted Answer

Eductional Objective: Sporothrix schenckii is a dimorphic fungus that causes mycosis of the skin. It is frequently spread via a thorn prick. The condition is characterized by nodules that spread via lymphatics.

A 46-Year-Old Man Arrives at the Office with Skin Lesions