Botryomycosis in the Immunocompetent Patient

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Botryomycosis is defined as a chronic granulomatous, suppurative bacterial infection characterized by the formation of grains. The infection is most commonly associated with Staphylococcus aureus and Pseudomonas aeruginosa. Both cutaneous and visceral forms of the infection have been documented by case reports in the literature. Cutaneous involvement affects areas of trauma such as face and hands. Visceral involvement, a much rarer form of botryomycosis, most commonly involves lungs, liver, kidneys, brain, and heart. This infection has been observed primarily in patients with immunocompromising conditions and affects areas of skin that are exposed to trauma (ie, face and hands). We report a case of botryomycosis confirmed by wound culture and pathologic examination in an immunocompetent patient.

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