3-PHASE BONE AND GA-67 SCINTIGRAPHY IN DISSEMINATED SPOROTRICHOSIS

A 27-year-old man, who had been shoveling gravel in southern Texas for 3 years, had a history of papules and nodules in the left lateral wal l of the abdomen. The lesions increased in number and severity with sp read to other regions of the body. A punch biopsy of the right arm les ion revealed intracellular, round and cigar shaped budding yeast. The cultures grew Sporotrichum schenkii. Three-phase bone imaging and a Ga -67 scan defined the extent of the disease including involvement of th e right tibia, left second metacarpal, and the left wrist joints, the latter two of which were not apparent on clinical examination.