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Sporotrichosis — DTM&H MCQ

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HardDermatological tropical conditionsSporotrichosisDTM&H

A UK resident develops nodular lymphangitis after being scratched by a cat imported from Brazil. Culture identifies Sporothrix brasiliensis. Which public-health statement is correct?

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Correct answer: A — The diagnostic laboratory must notify the positive Sporothrix result to UKHSA

The best answer is “The diagnostic laboratory must notify the positive Sporothrix result to UKHSA”. UKHSA states that diagnostic laboratories must report positive Sporothrix species results, whereas clinicians have no statutory duty to notify a merely suspected human case. Cat scratches, bites and lesion secretions are recognised transmission routes, especially for S. brasiliensis, but this does not make infection airborne. The travel and animal history is therefore central to both diagnosis and risk assessment.

Reference: UKHSA, HAIRS risk statement: sporotrichosis: https://www.gov.uk/government/publications/hairs-risk-statement-sporotrichosis/hairs-risk-statement-sporotrichosis