{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:50:58Z","timestamp":1791442258536,"version":"4.3.3"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":279,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Sporotrichosis, a subcutaneous mycosis, can manifest as severe disseminated disease in immunocompromised hosts. This report describes a challenging case of extracutaneous sporotrichosis in a 28\u2010year\u2010old female with systemic lupus erythematosus (SLE) on immunosuppressive therapy, who also faced significant socioeconomic constraints. The patient initially presented to the emergency department with a painful right inguinal mass. Physical examination revealed a hemorrhagic lesion, and aspiration of the material was performed for culture, which returned negative. She was discharged but returned 2\u2009months later with worsening symptoms and widespread lesions. During this second admission, a detailed history finally revealed contact with cats. The patient was readmitted for an inguinal lymph node biopsy. Histopathological analysis revealed granulomatous lymphadenitis with stellate necrosis, and the diagnosis was ultimately confirmed by culture, identifying\n                    <jats:italic>Sporothrix schenckii<\/jats:italic>\n                    complex. Treatment with itraconazole was initiated but later switched to liposomal amphotericin B due to hepatotoxicity. The patient completed a 1\u2010year course of liposomal amphotericin B with an excellent clinical response. This case highlights the diagnostic complexity of sporotrichosis in patients with SLE, its potential for severe dissemination, and the impact of socioeconomic barriers on timely diagnosis and disease management.\n                  <\/jats:p>","DOI":"10.1155\/crdi\/2428389","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:12:37Z","timestamp":1791439957000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Usual Suspects: A Challenging Case of Disseminated Sporotrichosis Masquerading as Suppurative Lymphadenitis in a Dialysis\u2010Dependent Chronic Kidney Disease Patient With Lupus"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4031-3373","authenticated-orcid":false,"given":"Natalia Chilinque Zamb\u00e3o da","family":"Silva","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine Fluminense Federal University  Niter\u00f3i Rio de Janeiro Brazil  uff.br"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0488-330X","authenticated-orcid":false,"given":"Jordanna de Paula Mendes","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Fluminense Federal University  Niter\u00f3i Rio de Janeiro Brazil  uff.br"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3007-4664","authenticated-orcid":false,"given":"Val\u00e9ria Regina","family":"Soares","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Niter\u00f3i Hospital Complex  Niter\u00f3i Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5060-0141","authenticated-orcid":false,"given":"Nathalia Ant\u00f4nio de Oliveira","family":"Velasco","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Niter\u00f3i Hospital Complex  Niter\u00f3i Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9528-1284","authenticated-orcid":false,"given":"Violeta Duarte Tortelly","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Niter\u00f3i Hospital Complex  Niter\u00f3i Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9932-4597","authenticated-orcid":false,"given":"Bruno Carrilho","family":"Hollanda","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Niter\u00f3i Hospital Complex  Niter\u00f3i Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1086\/522765"},{"key":"e_1_2_10_2_2","volume-title":"Severe Form of Lymphocutaneous Sporotrichosis: A Case Report","author":"Martins E. B.","year":"2023"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-020-00425-0"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/jof6040247"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.abd.2022.07.001"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jof7030170"},{"key":"e_1_2_10_7_2","first-page":"111","article-title":"Study of 50 Patients With Sporotrichosis. Clinical and Laboratory Assessment","volume":"137","author":"Espinosa-Texis A.","year":"2001","journal-title":"Gaceta M\u00e9dica de M\u00e9xico"},{"key":"e_1_2_10_8_2","volume-title":"Current Medical Diagnosis & Treatment 2024","author":"Fung M.","year":"2024"},{"key":"e_1_2_10_9_2","article-title":"Sporotrichosis in a Patient With Systemic Lupus Erythematosus","volume":"16","author":"Araujo P. F.","year":"2021","journal-title":"Revista Cient\u00edfica da FMC"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/5575300"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/jof9090921"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdi\/2428389","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crdi\/2428389","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdi\/2428389","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:12:39Z","timestamp":1791439959000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crdi\/2428389"}},"subtitle":[],"editor":[{"given":"Priya","family":"Gusain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crdi\/2428389"],"URL":"https:\/\/doi.org\/10.1155\/crdi\/2428389","archive":["Portico"],"relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2428389"}}