Botryomycosis in a young male: A case report and review of literature

Botryomycosis also known as bacterial pseudo mycosis is a rare chronic granulomatous bacterial infection that affects the skin and sometimes the viscera. The lesions are characterized by tumefaction, deformity, multiple sinus formation and fistulous tract with deep abscess and ulcerated area of skin. Common organisms include staphylococcus, pseudomonas, E.coli, proteus and streptococcus species. Botryomycosis has been known to affect humans as well as other mammals. We report a case of anaerobic Botryomycosis occurring in a young male patient who presented with atypical skin lesions at two different anatomical sites with a previous history of trauma. Complete excision of the lesion with primary closure of skin was done with excellent results. The final histopathological report of excised lesion was suggestive of botryomycosis with Hoeppli- Splendore reaction. We report this case as only few cases occurring in human beings are described in literature.