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Botryomycosis in the Immunocompetent Patient

Rassiwala, Jasmine BA*; Patel, Ami MD*; Ghignone, Erica MD, MA*; Chen, Wen BA*; Sidiropoulos, Michael MD*; Hinami, Keiki MD, MS

Infectious Diseases in Clinical Practice: September 2013 - Volume 21 - Issue 5 - p 283–284
doi: 10.1097/IPC.0b013e31828afef9
Review Articles

Botryomycosis is defined as a chronic granulomatous, suppurative bacterial infection characterized by the formation of grains. The infection is most commonly associated with Staphylococcus aureus and Pseudomonas aeruginosa. Both cutaneous and visceral forms of the infection have been documented by case reports in the literature. Cutaneous involvement affects areas of trauma such as face and hands. Visceral involvement, a much rarer form of botryomycosis, most commonly involves lungs, liver, kidneys, brain, and heart. This infection has been observed primarily in patients with immunocompromising conditions and affects areas of skin that are exposed to trauma (ie, face and hands). We report a case of botryomycosis confirmed by wound culture and pathologic examination in an immunocompetent patient.

From the *Feinberg School of Medicine, Northwestern University; and †Division of Hospital Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.

Correspondence to: Jasmine Rassiwala, BA, 211 E Ontario St, Suite 7-727, Chicago, IL 60611. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2013 by Lippincott Williams & Wilkins.