| Case
No. |
Patient |
Site |
Clinical
features |
Laboratory studies/CST* |
Treatment |
Outcome |
| 1 |
35 yo man,
teacher in rural area Cadereyta, Nuevo Leon state. |
Left preauricular region. Trauma of his fingernails. |
Epidermal cyst-like lesion.
Regional LAD+ |
Incidental finding at skin biopsy.
Chest X-ray normal. CST+ |
Excision and oral itraconazole 400 mg/day for 4 months |
Resolution in
20 weeks. |
| 2 |
65 yo man, goat-farmer from
Dr. Coss, Nuevo Leon state |
Left preauricular region. Trauma of his fingernails. |
Epydermal cyst-like lesion.
Regional LAD+ |
Incidental finding at skin biopsy.
Chest X-ray normal. CST+ |
Exicision and
Itraconazole 400 mg/day for 6 months |
Resolution in
36 weeks |
| 3 |
32 yo woman who visited a rural area in northern Nuevo Leon state. |
Nose and cheeks affected. Treated as Rosacea with minocycline 200 mg/day for 3 months.
No history of trauma |
Rosacea-like lesions.
LAD- |
Incidental finding at skin biopsy.
Chest X-ray normal. CST+ |
Oral Itraconazole 400 mg/day for 4 months |
Resolution in
14 weeks |
| 4 |
68 yo man, cattle herder in Torreon, Coahuila state. |
Dorsum of left hand.
Trauma with barbed wire. |
Verrucose tuberculosis, Sporotricosis, vs. Orf. LAD+ |
Incidental finding at skin biopsy.
Chest X-ray normal. CST+
CF 1:128
Culture + |
Oral itraconazole 300 mg/day for 8 months |
Resolution in
10 months,
CF 1:8. |
| 5 |
38 yo male farmer
from Tijuana. |
Trauma of left forearm with cactus thorn in Anaheim, CA. |
Sporotrichosis, verrucose tuberculosis
LAD+ |
Incidental finding at skin biopsy.
Chest X-ray normal. CST+
CF 1:128
Culture + |
Oral itraconazole 300 mg/day for10 months |
Resolution in
12 months
CF1:8 |
