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Journal of Tropical Pediatrics Advance Access originally published online on November 16, 2005
Journal of Tropical Pediatrics 2006 52(2):144-146; doi:10.1093/tropej/fmi101
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© The Author [2005]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Pulmonary Sporothrix schenckii Infection in a HIV Positive Child

Steven F. J. Callensc, Faustin Kitetelea, Pauline Lukunb, Patricia Lelob, Annelies Van Riec, Frieda Behetsc and Robert Colebundersd

a Pediatric Hospital Kalembe Lembe, Kinshasa, Democratic Republic of the Congo b School of Public Health of the University of Kinshasa, Kinshasa, Democratic Republic of the Congo c Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA d Institute for Tropical Medicine and University of Antwerp, Antwerp, Belgium

Correspondence: Dr Steven Callens, c/o Dr Robert Colebunders, Nationalestraat 155, B-2000 Antwerpen, Belgium. E-mail <callens{at}email.unc.edu>.

Sporothrix schenckii is a ubiquitous fungus, causing mostly non life-threatening localized infections of the skin and subcutaneous tissues that can be treated with oral antifungal agents. Meningeal, pulmonary and osteoarticular dissemination occur mainly in immunosuppressed patients. Pulmonary sporothricosis is rare and responds poorly to treatment. Cases of disseminated sporotrichosis have most frequently been reported in patients residing in South America and Asia, and have increasingly been reported in AIDS patients. The distribution and pathogenicity of S. schenckii in Sub-Saharan Africa is not well known. We report a case of invasive pulmonary sporothrichosis in an eleven year old HIV-infected boy in Kinshasa, Democratic Republic of the Congo, successfully treated with oral fluconazole.


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