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Pancreatic Botryomycosis Caused by Viridans Streptococci: A Case Report

Gopinathan, Anusha MD*; Shemin, Zuhara MD; Kumar, Anil MD*; Augustine, Deepthi MSc; Siyad, Ismail MD§; Jojo, Annie MD; Philip, Rosamma PhD; Dinesh, Kavitha MD*; Karim, Shamsul MD*

Infectious Diseases in Clinical Practice: July 2015 - Volume 23 - Issue 4 - p e23–e25
doi: 10.1097/IPC.0000000000000243
Case Reports

Botryomycosis is a chronic suppurative granulomatous disease of the skin viscera. It is known to mimic diseases such as actinomycosis and invasive carcinoma. Visceral botryomycosis is a rare entity compared with its cutaneous counterpart. It can be identified using staining techniques such as Gomori methenamine silver, periodic acid-Schiff Gram stain, histopathological examination, and aerobic culture of the lesion. Splendore-Hoeppli phenomenon is a characteristic feature of this disease. It responds to prolonged treatment with beta-lactams and surgery .There have been very few case reports on visceral botryomycosis across the world. We report a case of pancreatic botryomycosis caused by viridans streptococci in a patient with chronic calcific pancreatitis who was presumptively diagnosed as having carcinoma of the head of the pancreas.

From the Departments of *Microbiology, †Pathology, Amrita Institute of Medical Sciences, Ponekkara; ‡Department of Marine Biology, Microbiology and Biochemistry, School of Marine Sciences, Cochin University of Science and Technology, Fine Arts Avenue; §Department of Gastroenterology, Amrita Institute of Medical Sciences, Ponekkara, Kochi, Kerala, India.

Correspondence to: Anusha Gopinathan, MD, Department of Microbiology, Amrita Institute of Medical Sciences, Ponekkara, Kochi, Kerala, India 682041. E-mail:

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

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