Korean J Fam Med 2018; 39(2): 126-129  https://doi.org/10.4082/kjfm.2018.39.2.126
A Diabetic Elderly Man with Finger Ulcer
Noraini Mohamad1,*, Salziyan Badrin2, Wan Noor Hasbee Wan Abdullah3
1School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
2Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
3Dermatology Department, Hospital Raja Perempuan Zainab 2, Kelantan, Malaysia
Noraini Mohamad https://orcid.org/0000-0002-1179-3005
Tel: +60-13-9855968, Fax: +60-97675505, E-mail: mnoraini@usm.my
Received: July 11, 2017; Revised: September 6, 2017; Accepted: September 27, 2017; Published online: March 20, 2018.
© Korean Academy of Family Medicine. All rights reserved.

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Abstract
Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised status. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.
Keywords: Sporotrichosis; Ulcer; Itraconazole; Diabetes Mellitus


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