Misdiagnosis of Ocular Adnexal Sporotrichosis: A Case Series.

Sporotrichosis is a subacute or chronic infection affecting subcutaneous tissues, caused by the dimorphic fungus Sporothrix spp. This case series discusses three instances of ocular adnexal sporotrichosis treated at a tertiary government hospital in Pahang, Malaysia. It highlights diagnostic challenges, management strategies, and the impact of misdiagnosis and underreporting in the Southeast Asian tropical region compared to other parts of the world. Two of the three cases were initially misdiagnosed, leading to delays in definitive treatment. Incisional biopsies were performed for histopathological and fungal culture analysis, with two cases confirming the presence of Sporothrix spp. Following diagnosis, all patients responded well to oral fluconazole, although the recovery duration varied. Ocular sporotrichosis can be misdiagnosed due to its resemblance to other ocular conditions. Prompt diagnosis and early treatment are crucial to accelerating recovery and minimizing the risk of long-term ocular complications.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Param Jit Singh et al.)