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Arch Dermatol. 2003;139:93-98.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Botryomycosis.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

A skin biopsy specimen from the right forearm revealed superficial ulceration, with an intense inflammatory infiltrate with mycetomalike granules clustered in the middle to superficial dermis. These hyaline-appearing clusters demonstrated the Splendore-Hoeppli phenomenon. Gram staining confirmed gram-positive cocci in a cluster resembling the "grain" seen in mycetoma (Figure 4).

Figure appears in full text version. Figure 4.

Nafcillin sodium was intravenously administered for 42 days. The cutaneous lesions healed fully during the hospital course. The size of the brain abscess decreased markedly, and the patient had a full neurologic recovery.

DISCUSSION

Botryomycosis is a rare suppurative bacterial infection that often is mistaken clinically and histologically for a fungal infection. It is characterized by a suppurative and, occasionally, granulomatous inflammatory reaction to a bacterial infection. The most common organism cultured from lesions of botryomycosis is Staphylococcus aureus.¹ However, Proteus species, Pseudomonas aeruginosa, Bacillus species, Actinobacillus lignieresii, -hemolytic streptococci, Corynebacterium species, Propionibacterium acnes, Neisseria . . . [Full Text of this Article]

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Arch Dermatol. 2003;139(1):93-98.
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