A RARE CASE OF BOTRYOMYCOSIS IN AN IMMUNOCOMPETENT PATIENT
DOI:
https://doi.org/10.55519/JAMC-01-12937Keywords:
botryomycosis, cutaneous botryomycosis, actinomycetoma, eumycetoma, nocardiosisAbstract
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.
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
How to Cite
Issue
Section
License
Copyright (c) 2025 Sulhera Khan, Nazish Shah, Humaira Talat, Reema Mirza, Pasph Mala

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.