Disseminated cutaneous sporotrichosis associated with ocular lesion in an immunocompetent patient

Abstract: A 59-year-old female patient, previously healthy, immunocompetent, presented left bulbar conjunctiva lesions and nodular-ulcerated lesions on the arms and cervical region, besides left cervical and retroauricular lymphadenopathy. She had previous contact with domestic cats that excoriated her face. The diagnosis was conclusive of disseminated sporotrichosis through clinical and epidemiological history and cultures of skin and ocular secretions. It evolved with good response to oral antifungal therapy.

Tuberculosis of the conjunctiva, eyelid, and periocular skin

Over a period of 4 years, we saw 10 cases of tuberculosis involving conjunctiva, eyelids, and periocular skin. The presentation was usually in the form of conjunctival and lid ulcers and lid edema. Only one case presented as a tumorlike granuloma of the conjunctiva. The investigations included complete dermatologic and ophthalmologic examinations, culture, histologic study and guinea pig inoculation of the biopsy material, tuberculin skin test, chest x-ray, and routine blood workup. Discussion includes comments on diagnosis and treatment. Primary tuberculosis was commonly seen in under 20-year-olds. Unlike the previous reports, more males were affected than females