Sporotrichosis - Cutaneous infection with Sporothrix schenckii is a disease with worldwide distribution. The majority of cases are seen in Central and South America but outbreaks occur in the United States. The disease affects both children and adults and occurs when the causative fungus, in either contaminated soil or plant materials, contacts traumatized skin. This figure illustrates a somewhat less common form of the disease, fixed cutaneous sporotrichosis. The patient fell on rocks while playing in the country and sustained abrasions on an arm and elbow. Sporothrix schenckii was cultured from the crusted plaques in both locations. In this clinical form, the deep fungal infection remains confined to one area of the skin and has no tendency toward lymphatic spread.