Korean J Med.
1998 Mar;54(3):427-432.
A Case of Visceral Botryomycosis Accompanied by Early Lung Cancer
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Dan Kook University, Choean, Korea.
- 2Department of Radiology, College of Medicine, Dan Kook University, Choean, Korea.
- 3Department of Pathology, College of Medicine, Dan Kook University, Choean, Korea.
- 4Department of Thoracic & Cardiovascular Surgery, College of Medicine, Dan Kook University, Choean, Korea.
- 5Department of Neuro Surgery, College of Medicine, Dan Kook University, Choean, Korea.
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.
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