system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A gardener presents with a subcutaneous lesion on the hand, which he thinks resulted from a wound he received while he was making a sphagnum moss-wire frame for a floral wreath. The nodule has ulcerated and not healed despite use of antibacterial cream and a new nodule is forming above original lesion. What is most likely to be an appropriate treatment for this infection?
assistant
The correct answer is  This is a classic case of lymphocutaneous sporotrichosis in which a gardener or florist is infected a puncture wound. The drug of choice is either itraconazole or potassium iodide (administered orally in milk). Topical antifungals are not effective, and the coisone cream would probably enhance the spread of the disease.