Cutaneous Botryomycosis and Staphylococcus aureus : Diagnosis, Management, and a Systemic Literature Review

We present a case and provide a review of the literature of all confirmed cases of cutaneous botryomycosis due toStaphylococcus aureus between January 1, 1990 and January 31, 2018.Recent findingsCutaneous botryomycosis occurs in diverse age groups and more frequently in men. Immunodeficiency increases risk for botryomycosis. Preceding trauma commonly occurs, and after bacterial inoculation, patients develop a variety of chronic skin lesions. Culture and biopsy of lesions aid in diagnosis. Pathology usually displays the Splendore-Hoeppli reaction. Culture confirms the identity of the bacterium and provides antimicrobial sensitivities to guide therapy. Antimicrobial therapy should be maintained until lesions resolve; surgery may be needed.SummaryBotryomycosis is a rare chronic granulomatous condition that affects the skin and the viscera and is easily misdiagnosed. Treatment is not standardized yet typically requires extended courses of systemic antibiotics. Adjunctive surgery may be required in the presence of a heavy disease burden.
Source: Current Treatment Options in Infectious Diseases - Category: Infectious Diseases Source Type: research