Rose gardeners fungus anyone else dealing with this?

@baunch Wow, I have been hanging around here for 7 years now, and every day I learn something new! As a life-long gardener who has often grown roses, it seems I should have heard of this before today.
Here is what the CDC has to say about Sprortrichosis:
https://www.cdc.gov/sporotrichosis/hcp/clinical-overview/index.html
As with most fungal infections, it may take several months and trial of a few different medications to get the right treatment.
Can you tell me where it has appeared on your body?

Let ankle

Yes

@jetblast744
Left arm from elbow to wrist.
I have been dealing with this for over a year. Eight cultures, all negative for fungal and bacterial microorganisms) are now being sent to CDC. I also have areas of the nodules diagnosed as Granulomatous
Dermatitis w Necrosis. ANA and
ANCA tests are negative.