Sporotrichosis is uncommon in Canadian urban centers. Lymphocutaneous
and fixed cutaneous are the most common cutaneous forms of the disease
, typically seen in the upper extremity in adult patients. History usu
ally reveals a puncture injury contaminated with soil. Lesions are ref
ractory to commonly used antibiotics. Cultures of biopsy specimens rel
iably grow the fungus Sporothrix schenkii. First line treatment is ora
l potassium iodide. We have reviewed a series of 7 cases from various
Toronto teaching hospitals and compared them to the world literature.