Abstract
Botryomycosis is a chronic granulomatous bacterial infection most commonly caused by Staphylococcus aureus that often presents with papulonodules that drain yellow-white granules. In most patients, botryomycosis presents as a cutaneous disease, but visceral involvement may occur via hematogenous dissemination or contiguous spread. We present a case of a 41-year-old male with a history of HIV/AIDS, admitted for cytomegalovirus retinitis and Pneumocystis pneumonia. The patient was started on valganciclovir and trimethoprim/sulfamethoxazole on admission.
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