An autochthonous case of lymphocutaneous sporotrichosis caused by Sporothrix schenckii is reported. The patient developed skin lesions localized along the lymphatics that appeared after he suffered an injury while collecting wicker canes in marshy water. The fungus was identified as Sporothrix schenckii by MALDI-TOF and sequencing. Phylogenetic analysis was also performed. Low MIC values were detected for all tested echinocandins and azoles except for fluconazole. The patient was treated with itraconazole without significant improvement. A regression of lesions was observed after 3 months of therapy with voriconazole. Few cases of sporotrichosis have been reported in Europe. However, several cases of sporotrichosis have been described in Italy. The incidence of sporotrichosis in Italy may be underestimated and microbiologists, and clinicians must be aware of this fungal infection.

造成lymphocutaneous孢子丝菌病的本土情况下申克孢子丝报道。患者在将藤条收集在湿软的水中受伤后，出现了沿淋巴管分布的皮肤损伤。该真菌被鉴定为Sporothrix schenckii通过MALDI-TOF和测序。还进行了系统发育分析。除氟康唑外，所有测试的棘霉素和唑类均检测到低MIC值。该患者接受伊曲康唑治疗，无明显改善。伏立康唑治疗3个月后观察到病变消退。在欧洲，很少有孢子虫病的病例报道。但是，意大利已经描述了几例孢子体病。在意大利，孢子虫病的发生率可能被低估了，微生物学家和临床医生必须意识到这种真菌感染。