tailieunhanh - Cutaneous botryomycosis: A rare case report

Botryomycosis is a rare chronic suppurative granulomatous bacterial infection, which can present as cutaneous or visceral disease. We present a case of cutaneous botryomycosis in a 68-year-old female patient, who presented to the Skin outpatient clinic with indurated nodular masses along with discharging sinuses, on the lower abdomen, persisting for the past 10 years. The patient underwent various treatments elsewhere with no improvement. Mycetoma, botryomycosis, and actinomycosis were considered as differential diagnoses. On culture, Staphylococcus aureus was isolated, which is the most common cause of botryomycosis. As per the sensitivity report, treatment was started with co-trimoxazole and the patient responded well to the antibiotic treatment given, hence the aetiological diagnosis is important for the management of such cases. | EXCELLENT PUBLISHERS International Journal of Current Microbiology and Applied Sciences ISSN 2319-7706 Volume 8 Number 07 2019 Journal homepage http Case Study https Cutaneous Botryomycosis A Rare Case Report Vikas Kumar1 Astha2 Yatendra Chahar1 and Arti Agrawal1 1 Saropiu Naidu Medical College Agra India 2F. H. Medical College Agra India Corresponding author ABSTRACT Keywords Botryomycosis cutaneous Staphylococcus aureus Article Info Accepted 12 June 2019 Available Online 10 July 2019 Botryomycosis is a rare chronic suppurative granulomatous bacterial infection which can present as cutaneous or visceral disease. We present a case of cutaneous botryomycosis in a 68-year-old female patient who presented to the Skin outpatient clinic with indurated nodular masses along with discharging sinuses on the lower abdomen persisting for the past 10 years. The patient underwent various treatments elsewhere with no improvement. Mycetoma botryomycosis and actinomycosis were considered as differential diagnoses. On culture Staphylococcus aureus was isolated which is the most common cause of botryomycosis. As per the sensitivity report treatment was started with co-trimoxazole and the patient responded well to the antibiotic treatment given hence the aetiological diagnosis is important for the management of such cases. Introduction Botryomycosis is a rare chronic suppurative granulomatous bacterial infection involving the skin and viscera in which the organisms form granules composed of bacterial masses that are bound to each other 1 . The cutaneous form may present as nodules abscesses and sinuses with purulent discharge and grains that may heal after several months to leave atrophic scars 2 . In 1870 botryomycosis was originally discovered by Otto Bollinger as a post-castration complication in a horse and in 1884 the name was coined by Sebastiano Rivolta which refers to its grape like granules Gr. botryo bunch of grapes mykes