Korean J Dermatol.  2004 May;42(5):662-664.

A Case of Botryomycosis Occurring at the Axilla of the Patient with Acute Myeloid Leukemia

• Kim HW
• Lee EJ
• Seo YJ
• Suhr KB
• Park JK
• Lee JH

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.

Keyword

Botryomycosis

MeSH Terms

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