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Botryomycosis of the Vulva: A Case Report

Elas, Diane MSN, ARNP1; Swick, Brian MD2; Stone, Mary S. MD2; Miller, Merida MD1; Stockdale, Colleen MD, MS1

Journal of Lower Genital Tract Disease: July 2014 - Volume 18 - Issue 3 - p e80–e83
doi: 10.1097/LGT.0000000000000009
Case Reports

Objective Vulvar ulcers may be caused by various etiologies including infection, trauma, dermatosis, and cancer. We report a case of a vulvar ulcer caused by botryomycosis.

Case An 85-year-old woman presented with vulvar itching, pain, bleeding, and ulcerations suspicious for cancer. Biopsies of the ulcers returned without dysplasia or malignancy. She was referred to the tertiary care vulvar vaginal disease clinic. Dermatopathologic reevaluation of pathologic slides diagnosed lichen sclerosus and botryomycosis. The patient was treated with ciprofloxacin for 7 weeks with complete resolution of vulvar ulcerations.

Conclusion Botryomycosis should be included in the differential diagnosis of infectious etiology of vulvar ulcers.

Botryomycosis may be considered in the differential diagnosis of a vulvar ulcer and successfully treated with appropriate antibiotics.

Departments of 1Obstetrics and Gynecology and 2Dermatology and Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA

Reprint requests to: Diane Elas, RN, MSN, ARNP, Department Obstetrics and Gynecology, University of Iowa of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242. E-mail:

The authors have nothing to disclose, and no funding was received from any source for this work.

Copyright © 2014 by the American Society for Colposcopy and Cervical Pathology