Ocular sporotrichosis: atypical manifestations

Abstract Human and animal sporotrichosis is an infection caused by the dimorphic fungus Sporothrix schenckii, which is classified from subacute to chronic. Ocular sporotrichosis has been highlighted due to the epidemic of urban sporotrichosis faced by the state of Rio de Janeiro in the last decade and presents classically as granulomatous conjunctivitis, but atypical forms may occur. This article aims to report two atypical cases of ocular sporotrichosis in immunocompetent patients, both presenting a clinical picture compatible with Parinaud oculoglandular syndrome associated with dacryocystitis in one case and presumably to choroiditis in the other case.

摘要 人和动物孢子丝菌病是由双相真菌申克孢子丝菌（Sporothrix schenckii）引发的感染性疾病，病程可涵盖亚急性至慢性阶段。近十年来，里约热内卢州遭遇城市型孢子丝菌病流行，眼孢子丝菌病因此受到学界重点关注；该病经典临床表现为肉芽肿性结膜炎，但也可出现非典型病例类型。本文旨在报告2例免疫功能正常患者罹患眼孢子丝菌病的非典型病例：1例临床表现符合伴发泪囊炎的帕里诺眼腺综合征（Parinaud oculoglandular syndrome），另1例疑似合并脉络膜炎。