A Case of Visceral Botryomycosis Accompanied by Early Lung Cancer.
- Author:
Youn Seup KIM
1
;
Young Koo JEE
;
Hyun Ju BAI
;
Kye Young LEE
;
Keun Youl KIM
;
Young Hee CHOI
;
Nha Hye MYUNG
;
Phil Won SEO
;
Hyun Ku LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Dan Kook University, Choean, Korea.
- Publication Type:Case Report
- Keywords:
Botryomycosis;
Early Lung Cancer
- MeSH:
Actinomycosis;
Bacillus;
Bacteria;
Brain;
Bronchoscopes;
Bronchoscopy;
Eosinophils;
Humans;
Kidney;
Liver;
Lung Neoplasms*;
Lung*;
Middle Aged;
Oceans and Seas;
Orbit;
Penicillin G;
Pneumonectomy;
Proliferating Cell Nuclear Antigen;
Proteus;
Skin;
Sulfur;
Tongue
- From:Korean Journal of Medicine
1998;54(3):427-432
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Botryomycosis is a rare, chronic and suppurative di- sease that is often mistaken clinically and histologically for a fungal infection, because the histologic feature shows a cluster of bacteria found within an eosinophilic matrix or capsule, giving the appearance of granules mimicking the sulfur granules of actinomycosis. Staphy- lococcus aureus is the most common organism cultured from lesions of botryomycosis, but other bacteria have also been isolated and implicated, including Psudomonas aeruginosa, E. coli, Proteus spp., Bacillus spp.. In some case, multiple pathogenic bacteria were found on cul ture. This disease has two patterns of organ involve ment. The more common type is cutaneous type, which involves the skin, subcutaneous soft tissue, muscle and bone. The other is visceral type which involves the lungs, liver, tongue, orbit, bowel, brain, kidney or pros tate. We report a case of brain and pulmonary botry omycosis in a 60 year-old man, who have early lung cancer. Botryomycosis was diagnosed by brain mass removal, PCNA and bronchoscopy, and lung cancer was detected incidentally by bronchoscope. The patient was treated with the Penicillin G after operation of brain mass, and right pneumonectomy was done.
