Korean J Med.  2005 May;68(5):587-591.

A case of primary pulmonary botryomycosis by Gemella morbilium

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea. jspark@dankook.ac.kr
  • 2Department of Pathology, College of Medicine, Dankook University, Cheonan, Korea.
  • 3Department of Radiology, College of Medicine, Dankook University, Cheonan, Korea.

Abstract

Botryomycosis is a chronic supprative disease with characteristic granules formation in the pus caused by bacteria and frequently is mistaken for a fungal infection. Pulmonary botryomycosis can resemble actinomycosis, tuberculosis, or invasive carcinoma by causing a mass lesion with constitutional symptoms. We report a case of pulmonary botryomycosis in a 43 years old man. He had a cavitary lesion of the right upper lobe and diagnosis was confirmed by percutaneous needle aspiration. The specimen demonstrated multiple clusters of bacteria within abscess that best were visualized by gram staining. Cultures of the biopsy materials yielded pure growth of Gemella morbilium. The patient recovered quickly after antibiotics treatment for 3 weeks.

Keyword

Pulmonary botryomycosis; Gemella

MeSH Terms

Abscess
Actinomycosis
Adult
Anti-Bacterial Agents
Bacteria
Biopsy
Diagnosis
Gemella*
Humans
Needles
Suppuration
Tuberculosis
Anti-Bacterial Agents
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