A RARE CASE OF BOTRYOMYCOSIS IN AN IMMUNOCOMPETENT PATIENT

Authors

DOI:

https://doi.org/10.55519/JAMC-01-12937

Keywords:

botryomycosis, cutaneous botryomycosis, actinomycetoma, eumycetoma, nocardiosis

Abstract

The term botryomycosis is a misnomer meaning bunch of grapes and fungal infection. It is a chronic, granulomatous infection caused by the bacteria with only a few cases reported worldwide. We present a case of cutaneous botryomycosis in an immunocompetent patient which was identified on histopathology. The culture showed growth of Staphylococcus aureus which was sensitive to oral and intravenous antibiotics. The patient was started on oral linezolid and the lesions improved significantly without the need of surgical debridement and amputation. Botryomycosis serves as a diagnostic dilemma as the disease mimics other disorders like actinomycetoma, eumycetoma, scrofuloderma and nocardiosis. Therefore, it is important to consider botryomycosis as a differential in chronic suppurative infections even in immunocompetent hosts.

Author Biography

Nazish Shah, Civil Hospital Karachi-Pakistan

Correspondence:

Department of Dermatology, Civil Hospital Karachi-Pakistan

Cell: +92 303 373 5793

Email: nazishsha3@gmail.com

References

1. Padilla-Desgarennes C, Vázquez-González D, Bonifaz A. Botryomycosis. Clin Dermatol 2012;30(4):397–402.

2. Rit K, Saha R, Chakrabarty P. A Case Report of Staphylococcus aureus Induced Cutaneous Botryomycosis in a Patient with Acquired Immune Deficiency Syndrome. MAMC J Med Sci 2015;1(2):108–10.

3. Chintaginjala A, Harshavardhan K, Kumar AS. Cutaneous botryomycosis: a rare case report. Indian J Dermatol 2016;61(1):126.

4. Singh A, Cook C, Kollmann K, Rajpara A. Acute cutaneous botryomycosis of the hands. IDCases 2020;19:e00709.

5. Mechow N, Göppner D, Franke I, Kolesnik M, Bonnekoh B, Gollnick HP, et al. Cutaneous botryomycosis diagnosed long after an arm injury. J Am Acad Dermatol 2014;71(4):e155–6.

6. Sirka CS, Dash G, Pradhan S, Naik S, Rout AN, Sahu K. Cutaneous botryomycosis in immunocompetent patients: a case series. Indian Dermatol Online J 2019;10(3):311–5.

7. Devi B, Behera B, Dash ML, Puhan MR, Pattnaik SS, Patro S. Botryomycosis. Indian J Dermatol 2013;58(5):406.

8. Follows GA, Mathew J, Lucas S, Black MJ, Goodship TH. Cutaneous botryomycosis in a patient with lupus nephritis. Nephrol Dial Transplant 1998;13(12):3200–1.

9. Bailey P, Raybould JE, Sastry S, Bearman G. Cutaneous botryomycosis and staphylococcus aureus: diagnosis, management, and a systemic literature review. Curr Treat Options Infect Dis 2018;10:347–61.

Downloads

Published

2025-03-15

How to Cite

1.
Khan S, Shah N, Talat H, Mirza R, Mala P. A RARE CASE OF BOTRYOMYCOSIS IN AN IMMUNOCOMPETENT PATIENT. J Ayub Med Coll Abbottabad [Internet]. 2025 Mar. 15 [cited 2025 Aug. 24];37(1):205-7. Available from: https://www.jamc.ayubmed.edu.pk/index.php/jamc/article/view/12937