Case ReportsPancreatic Botryomycosis Caused by Viridans Streptococci A Case ReportGopinathan, 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*Author Information 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: email@example.com. The authors have no funding or conflicts of interest to disclose. Infectious Diseases in Clinical Practice: July 2015 - Volume 23 - Issue 4 - p e23-e25 doi: 10.1097/IPC.0000000000000243 Buy Metrics Abstract 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. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.