Abstract
We present a case of cutaneous botryomycosis of the lower leg in a young adult male. Botryomycosis is a chronic granulomatous response to bacterial infection. As a cutaneous lesion, it can easily be mistaken for a malignant, autoimmune or inflammatory mass. We were able to successfully treat our patient with primary surgical excision, vacuum-assisted closure (V.A.C.™) dressing and subsequent split thickness skin graft (STSG). Use of a V.A.C. dressing with subsequent grafting has not previously been reported in the literature.
Highlights
We report a case of cutaneous botryomycosis of the leg in a 37-year-old Caucasian male treated with primary surgical excision, vacuum-assisted closure ([V.A.C.TM], KCI-Acelity, San Antonio, TX, USA) and subsequent split-thickness skin grafting (STSG)
Botryomycosis is a disease of chronic inflammatory lesions caused by a granulomatous response to bacterial infection [1]
The base of the lesion contained granules with blue-stained bacterial organisms surrounded by an intense eosinophilic coat
Summary
We report a case of cutaneous botryomycosis of the leg in a 37-year-old Caucasian male treated with primary surgical excision, vacuum-assisted closure ([V.A.C.TM], KCI-Acelity, San Antonio, TX, USA) and subsequent split-thickness skin grafting (STSG). The lesions are often hard and woody, show mixed areas of necrosis, inflammation and suppuration macroscopically and typically elicit a surrounding inflammatory response. Our patient was a 37-year-old Caucasian male who presented to the emergency department with a 30-day history of a necrotic, ulcerating right calf lesion He was systemically well and did not have any pain. He had been treated by his general practitioner with oral amoxicillin/clavulanic acid, the lesion failed to improve His past medical history included alcoholism, anxiety disorder, recurrent lower limb cellulitis and a right ankle fracture requiring internal fixation. The base of the lesion contained granules with blue-stained bacterial organisms surrounded by an intense eosinophilic coat This finding is in keeping with “Splendore-Hoeppli Phenomenon”, a finding characteristic of botryomycosis.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
