Rose Gardener's disease.

To cite: Rufino R, Marques BL, Costa CH. Thorax Published Online First: 19 December 2012 doi:10.1136/thoraxjnl-2012202827 A 32-year-old man worked as a subsistence farmer raising pigs and tending his small garden; he also kept cats and dogs. He reported fever, night sweats, weight loss of 10 kg over 3 months, haemoptysis and skin ulcers (figure 1). Radiography and chest CT scan (figure 2) showed extensive bilateral cavities. An HIV test was negative. Bronchoalveolar lavage and biopsy of the skin lesions displayed Sporothrix schenckii. He was treated with amphotericin B and his lesions slowly healed. Sporotrichosis is a chronic pyogranulomatous infection caused by a dimorphic fungus that contaminates skin or subcutaneous tissue after trauma with plant materials such as thorns or splinters, or through cat scratches or bites. The term ‘Rose Gardener’s disease’ has been coined following the