Abstract
Objective: To analyze the socio-environmental, epidemiological, and pathophysiological aspects of sporotrichosis, focusing on zoonotic transmission by infected cats, aiming to support control and prevention strategies. Literature review: Sporotrichosis, caused by fungi of the Sporothrix schenckii complex, is an endemic and neglected mycosis with a growing impact on public health, particularly in Brazil, due to its zoonotic spread. The disease presents in chronic or subacute forms, with polymorphic skin lesions. The increasing contact between humans and infected cats, especially in urban areas with poor sanitary conditions, is a critical factor in transmission. Historically, sporotrichosis was first described in 1898, with outbreaks associated with agricultural activities and, more recently, zoonotic transmission mediated by Sporothrix brasiliensis. Epidemiological data highlight Brazil as one of the global epicenters, with transmission predominantly occurring through infected cats. The disease manifests in cutaneous forms (lymphocutaneous, fixed, disseminated) and extracutaneous forms, varying according to host factors and fungal virulence. Diagnosis is challenging and requires laboratory methods such as culture and histopathology. Final considerations: A comprehensive approach to sporotrichosis, integrating human, animal, and environmental health, is essential for its control. Ongoing studies and robust public policies can mitigate the impacts of this emerging mycosis, especially in vulnerable populations.
References
ALMEIDA-PAES R, et al. Antibody Isotype and Subclass Responses in Human Patients With Different Clinical Presentations of Sporotrichosis. Mycoses, 2024; 67(9): 13793.
ALMEIDA-PAES R, et al. Refractory sporotrichosis due to Sporothrix brasiliensis in humans appears to be unrelated to in vivo resistance. Medical Mycology, 2017; 55(5): 507-517.
ALVAREZ CM, et al. Sporotrichosis: A Review of a Neglected Disease in the Last 50 Years in Brazil. Microorganisms, 2022; 10(11): 2152.
AUNG AK, et al. Pulmonary sporotrichosis: case series and systematic analysis of literature on clinico-radiological patterns and management outcomes. Medical mycology, 2013; 51(5): 534-544.
BARROS MBLM, et al. Sporothrix schenckii and Sporotrichosis. Clinical microbiology reviews, 2011; 24(4): 633-654.
BONIFAZ A e TIRADO-SÁNCHEZ A. Cutaneous disseminated and extracutaneous sporotrichosis: current status of a complex disease. Journal of Fungi, 2017; 3(1): 6.
BONIFAZ A, et al. Cutaneous disseminated sporotrichosis: clinical experience of 24 cases. Journal of the European Academy of Dermatology and Venereology, 2018; 32(2): 77-79.
CHAKRABARTI A, et al. Global epidemiology of sporotrichosis. Med Mycol, 2015; 53(1): 3-14.
CHENG S, et al. Current situation of sporotrichosis in China. Future Microbiology, 2024; 19(12): 1097-1106.
COLOMBO SA, et al. Emergence of zoonotic sporotrichosis due to Sporothrix brasiliensis in Minas Gerais, Brazil: A molecular approach to the current animal disease. Mycoses, 2023; 66(10): 911-922.
DE CARVALHO AS, et al. Innovations in Treating Sporotrichosis: Drug Repurposing and Lead Compound Synthesis. Current Organic Chemistry, 2024; 28(13): 991-1005.
DOS SANTOS AR, et al. Emergence of zoonotic sporotrichosis in Brazil: a genomic epidemiology study. The Lancet Microbe, 2024; 5(3): 282-290.
GARCIA MTP, et al. Elaboração e avaliação de uma ficha de notificação compulsória para a esporotricose humana. Escola Anna Nery, 2022; 26: 20210361
GREMIÃO IDF, et al. Geographic expansion of sporotrichosis, Brazil. Emerging infectious diseases, 2020; 26(3): 621.
GREMIÃO IDF, et al. Guideline for the management of feline sporotrichosis caused by Sporothrix brasiliensis and literature revision. Brazilian Journal of Microbiology, 2021; 52(1): 107-124.
KAUFFMAN CA. Central nervous system infection with other endemic mycoses: rare manifestation of blastomycosis, paracoccidioidomycosis, talaromycosis, and sporotrichosis. Journal of Fungi, 2019; 5(3): 64.
LOPES-BEZERRA LM, et al. Sporotrichosis between 1898 and 2017: The evolution of knowledge on a changeable disease and on emerging etiological agents. Med Mycol, 2018; 56(1): 126-143.
LUTZ A e SPLENDORE A. On a mycosis observed in men and mice: Contribution to the knowledge of the so-called sporotrichosis. Revista Médica de São Paulo, 1907; 21: 443-450.
MAGALHÃES VC, et al. Clinical factors associated with systemic sporotrichosis in Brazil. Mycoses, 2024; 67(1): 13656.
MARIMON R, et al. Sporothrix brasiliensis, S. globosa, and S. mexicana, three new Sporothrix species of clinical interest. Journal of Clinical Microbiology, 2007; 45(10): 3198-3206.
MESQUITA VA, et al. Zoonotic Sporotrichosis outbreak: Emerging public health threat in the Amazon State, Brazil. PLOS Neglected Tropical Diseases, 2024; 18(7): 12328.
MOUSSA TAA, et al. Origin and distribution of Sporothrix globosa causing sapronoses in Asia. J Med Microbiol, 2017; 66(5): 560-569.
OROFINO-COSTA R, et al. Sporotrichosis: an update on epidemiology, etiopathogenesis, laboratory and clinical therapeutics. Anais brasileiros de dermatologia, 2017; 92: 606-620.
QUEIROZ-TELLES F, et al. Cutaneous disseminated sporotrichosis in immunocompetent patient: Case report and literature review. In Med Mycol Case Rep, 2022; 36: 31-34.
QUEIROZ-TELLES F, et al. Sporothrix and Sporotrichosis. In N. Rezaei, Encyclopedia of Infection and Immunity, 2022; 376-396.
RABELLO VBS, et al. The Historical Burden of Sporotrichosis in Brazil: a Systematic Review of Cases Reported from 1907 to 2020. Braz J Microbiol, 2022; 53(1): 231-244. https ://doi.org/10.1007/s42770-021-00658-1.
RANGEL-GAMBOA L, et al. Update of phylogenetic and genetic diversity of Sporothrix schenckii sensu lato. Medical Mycology, 2015; 54(3): 248-255.
RODRIGUES AM, et al. The threat of emerging and re-emerging pathogenic Sporothrix species. Mycopathologia, 2020; 185(5): 813-842.
ROSSATO L. Sporothrix brasiliensis: aspectos imunológicos e virulência Dissertation, Universidade de São Paulo, São Paulo, Brazil, 2017.
SCHENCK BR. On refractory subcutaneous abscesses caused by a fungus possibly related to the Sporotricha. Bull John Hopkins Hosp, 1898; 9: 286-290.
UEMURA EVG e ROSSATO L. Sporotrichosis co‐infection with human immunodeficiency virus/acquired immunodeficiency syndrome. Mycoses, 2023; 66(10): 845-853.
VERDAN F, et al. Dendritic cell are able to differentially recognize Sporothrix schenckii antigens and promote Th1/Th17 response in vitro. Immunobiology, 2012; 217(8): 788-794.
ZHANG Y, et al. Phylogeography and evolutionary patterns in Sporothrix spanning more than 14 000 human and animal case reports. Persoonia-Molecular Phylogeny and Evolution of Fungi, 2015; 35(1): 1-20.
