Blastomycosis-Like PyodermaA Rare Case Report
Blastomycosis-like pyoderma is a rare, cutaneous bacterial infection of skin, seen in malnourished individuals, in a poor state of health and manifests as vegetating skin lesions. It is an unusual tissue reaction possibly to bacterial infection, the most common organism being Staphylococcus aureus...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8610/20468_CE(Ra1)_F(AK)_PF1(ROEKAK)_PFA(AK).pdf |
| Summary: | Blastomycosis-like pyoderma is a rare, cutaneous bacterial infection of skin, seen in malnourished individuals, in a poor state of health
and manifests as vegetating skin lesions. It is an unusual tissue reaction possibly to bacterial infection, the most common organism being
Staphylococcus aureus.
This case report is of a 35-year-old male who presented with thick verrucous surfaced plaques and papules on trunk and extremities since
2 months. Investigations revealed anaemia with hypochromasia, neutrophilic leucocytosis, hypo-proteinemia and hypo-albuminemia with
reversal of A/G ratio. Pathergy test was negative. Pus on Gram’s stain showed plenty of pus cells, and negative for AFB and fungal stain.
On culture of pus grew Coagulase negative staphylococcus species. Biopsy showed acanthosis of epidermis with moderate lymphocytic
infiltrates in dermis and focally a few neutrophils and histiocytes. Patient fulfilled the criteria for diagnosis of blastomycosis like pyoderma
viz., presentation of large verrucous plaques with pustules and ulcers with elevated border, histologically neutrophilic infiltration and
growth of one pathogenic bacterium on culture. Patient responded to long-term cefotaxime therapy. |
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| ISSN: | 2249-782X 0973-709X |