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Additional laboratory studies revealed eosinophilia and negative <jats:italic>Toxoplasma gondii<\/jats:italic> antibodies. After no improvement following a course of trimethoprim\u2013sulfamethoxazole, further questioning revealed that the patient had fallen into a haystack 1\u2009month before the initial cervical lesion. The patient\u2019s parents opted to treat the infection empirically for sporotrichosis with itraconazole rather than undergo lymph node biopsy. At the 2-week follow-up, his lymphadenopathy had resolved and had returned to baseline activity.<\/jats:p>","DOI":"10.1136\/bcr-2021-245057","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T11:22:39Z","timestamp":1646392959000},"page":"e245057","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Uncommon aetiology of lymphadenopathy in a healthy child: a sporotrichosis case with painless lymphadenopathy"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9485-1521","authenticated-orcid":false,"given":"Jordan Asher","family":"McKinney","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2048-8480","authenticated-orcid":false,"given":"Buse","family":"Baykoca-Arslan","sequence":"additional","affiliation":[{"name":"Deaprtment of Public Health, Texas Tech University Health Sciences, Lubbock, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5325-7780","authenticated-orcid":false,"given":"Fatma","family":"Levent","sequence":"additional","affiliation":[{"name":"Deaprtment of Public Health, Texas Tech University Health Sciences, Lubbock, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"2025082723270388000_15.3.e245057.1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01087.x"},{"key":"2025082723270388000_15.3.e245057.2","first-page":"286","article-title":"On refractory subcutaneous abscesses caused by a fungus possibly related to the sporotricha","volume":"9","author":"Schenck","year":"1898","journal-title":"Bull Johns Hopkins Hosp"},{"key":"2025082723270388000_15.3.e245057.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.2007.00452.x"},{"key":"2025082723270388000_15.3.e245057.4","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1093\/jpids\/piz052","article-title":"Pediatric sporotrichosis in Jilin Province of China (2010-2016): a retrospective study of 704 cases","volume":"9","author":"Yao","year":"2020","journal-title":"J Pediatric Infect Dis Soc"},{"key":"2025082723270388000_15.3.e245057.5","doi-asserted-by":"publisher","DOI":"10.1093\/mmy\/myu062"},{"key":"2025082723270388000_15.3.e245057.6","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00808-07"},{"key":"2025082723270388000_15.3.e245057.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2004.11.046"},{"key":"2025082723270388000_15.3.e245057.8","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1017\/S0950268807009727","article-title":"An epidemic of sporotrichosis in Rio de Janeiro, Brazil: epidemiological aspects of a series of cases","volume":"136","author":"Barros","year":"2008","journal-title":"Epidemiol Infect"},{"key":"2025082723270388000_15.3.e245057.9","doi-asserted-by":"publisher","DOI":"10.1086\/313607"},{"key":"2025082723270388000_15.3.e245057.10","doi-asserted-by":"publisher","DOI":"10.1086\/345437"},{"key":"2025082723270388000_15.3.e245057.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2012.05849.x"},{"key":"2025082723270388000_15.3.e245057.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2011.04389.x"},{"key":"2025082723270388000_15.3.e245057.13","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12286"},{"key":"2025082723270388000_15.3.e245057.14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001673"},{"key":"2025082723270388000_15.3.e245057.15","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/myc.12158","article-title":"A survey of 165 sporotrichosis cases examined in Nagasaki Prefecture from 1951 to 2012","volume":"57","author":"Takenaka","year":"2014","journal-title":"Mycoses"},{"key":"2025082723270388000_15.3.e245057.16","doi-asserted-by":"publisher","DOI":"10.3767\/003158515X687416"},{"key":"2025082723270388000_15.3.e245057.17","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1111\/myc.12751","article-title":"A population genetics analysis in clinical isolates of Sporothrix schenckii based on calmodulin and calcium\/calmodulin-dependent kinase partial gene sequences","volume":"61","author":"Rangel-Gamboa","year":"2018","journal-title":"Mycoses"},{"key":"2025082723270388000_15.3.e245057.18","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.000451"},{"key":"2025082723270388000_15.3.e245057.19","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00007-11"},{"key":"2025082723270388000_15.3.e245057.20","doi-asserted-by":"publisher","DOI":"10.1086\/520190"},{"key":"2025082723270388000_15.3.e245057.21","unstructured":"Lacaz C , Porto E , Martins J . 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