A Case of Botryomycosis Occurring at the Axilla of the Patient with Acute Myeloid Leukemia.
- Author:
Hyun Woong KIM
1
;
Eun Ju LEE
;
Young Joon SEO
;
Ki Beom SUHR
;
Jang Kyu PARK
;
Jeung Hoon LEE
Author Information
1. Department of Dermatology, School of Medicine Chungnam National University, Daejon, Korea. jhoon@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Botryomycosis
- MeSH:
Abscess;
Axilla*;
Bacterial Infections;
Basophils;
Causality;
Debridement;
Eosinophils;
Fistula;
Granuloma;
Humans;
Leukemia, Myeloid, Acute*;
Liver;
Lymphocytes;
Neutrophils;
Plasma Cells;
Postoperative Complications;
Skin;
Staphylococcus aureus;
Ulcer
- From:Korean Journal of Dermatology
2004;42(5):662-664
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Botryomycosis is a rare bacterial infection that may mimic fungal disease both clinically and histologically. Cutaneous botryomycosis usually appears as nodules, sinuses, fistulae, abscesses, and ulcers with seropustular secretion. Histopathological findings are characterized by chronic nonspecific inflammatory lesions composed of neutrophils, lymphocytes, eosinophils and plasma cells. The characteristic suppurative foci contained granuloma with a basophilic center and an eosinophilic periphery. Successful treatment often requires a combination of both surgical debridement and long-term antimicrobial therapy. The predisposing factor included skin trauma, postoperative complication, diabetus mellitus, liver disorder, long-term steroid therapy, alcholism, and cystic fib rosis. Here we report a patient who had suppurative nodule with induration at the axilla. Staphylococcus aureus was cultured from the lesion. Our patient responded to systemic antimicrobial therapy and surgical debridement.
