Sporotrichosis is a subcutaneous mycosis caused by fungi of the genus Sporothrix. Since 1998, in the metropolitan region of Rio de Janeiro, there has been an increase in the number of human cases, in a zoonotic transmission pattern, from domestic and stray cats, involving Sporothrix brasiliensis as the causative species. The primary treatment for this infection includes oral itraconazole, potassium iodide, terbinafine, and intravenous amphotericin B. Refractory cases and the cases in which the patients have contraindications to pharmacological treatment may benefit from adjuvant methods such as cryosurgery, thermotherapy, and electrosurgery. Here, we report a case of lymphocutaneous sporotrichosis refractory to itraconazole treatment that achieved clinical cure after electrosurgery with curettage.