Pulmonary botryomycosis

Botryomycosis is a rare, chronic suppurative granulomatous bacterial infection of skin, soft tissue, and viscera with aggregates of nonbranching gram positive or negative bacteria. This is a very rare infection usually under diagnosed, mostly seen in immunocompromised state, so far only few case rep...

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Main Authors: C Govindasamy, C Selvi, R Narasimhan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Association of Pulmonologist of Tamil Nadu
Subjects:
Online Access:http://www.japt.in/article.asp?issn=2772-6355;year=2018;volume=1;issue=1;spage=29;epage=32;aulast=Govindasamy;type=0
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author C Govindasamy
C Selvi
R Narasimhan
author_facet C Govindasamy
C Selvi
R Narasimhan
author_sort C Govindasamy
collection DOAJ
description Botryomycosis is a rare, chronic suppurative granulomatous bacterial infection of skin, soft tissue, and viscera with aggregates of nonbranching gram positive or negative bacteria. This is a very rare infection usually under diagnosed, mostly seen in immunocompromised state, so far only few case reports were reported worldwide. 59-year-old gentleman from Port Blair, with no comorbidities came with complaints of cough with expectoration for past six months who already received multiple treatments outside. On examination, he had basal crepitation’s in right infrascapular area. His chest X-ray showed right lower zone opacity. Blood investigation revealed leukocytosis with elevated ESR. HRCT Chest revealed right lower lobe consolidation. Bronchoscopy was done which showed mobile intrabronchial mass in RLL-CBS. Following removal, he improved. Histopathological examination of foreign body revealed vegetative material and showed gram negative bacteria with interspersed gram-positive bacteria surrounded by splendore-hoepplii phenomenon suggestive of botryomycosis. He was treated with antibiotics and he improved well.
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spelling doaj.art-c32ead152e604fde90786bc51c9638f92023-08-23T08:58:41ZengWolters Kluwer Medknow PublicationsJournal of Association of Pulmonologist of Tamil Nadu2772-63552772-63632018-01-01112932Pulmonary botryomycosisC GovindasamyC SelviR NarasimhanBotryomycosis is a rare, chronic suppurative granulomatous bacterial infection of skin, soft tissue, and viscera with aggregates of nonbranching gram positive or negative bacteria. This is a very rare infection usually under diagnosed, mostly seen in immunocompromised state, so far only few case reports were reported worldwide. 59-year-old gentleman from Port Blair, with no comorbidities came with complaints of cough with expectoration for past six months who already received multiple treatments outside. On examination, he had basal crepitation’s in right infrascapular area. His chest X-ray showed right lower zone opacity. Blood investigation revealed leukocytosis with elevated ESR. HRCT Chest revealed right lower lobe consolidation. Bronchoscopy was done which showed mobile intrabronchial mass in RLL-CBS. Following removal, he improved. Histopathological examination of foreign body revealed vegetative material and showed gram negative bacteria with interspersed gram-positive bacteria surrounded by splendore-hoepplii phenomenon suggestive of botryomycosis. He was treated with antibiotics and he improved well.http://www.japt.in/article.asp?issn=2772-6355;year=2018;volume=1;issue=1;spage=29;epage=32;aulast=Govindasamy;type=0botryomycosischronic pneumoniasplendore-hoepplii phenomenonchronic antibiotics.
spellingShingle C Govindasamy
C Selvi
R Narasimhan
Pulmonary botryomycosis
Journal of Association of Pulmonologist of Tamil Nadu
botryomycosis
chronic pneumonia
splendore-hoepplii phenomenon
chronic antibiotics.
title Pulmonary botryomycosis
title_full Pulmonary botryomycosis
title_fullStr Pulmonary botryomycosis
title_full_unstemmed Pulmonary botryomycosis
title_short Pulmonary botryomycosis
title_sort pulmonary botryomycosis
topic botryomycosis
chronic pneumonia
splendore-hoepplii phenomenon
chronic antibiotics.
url http://www.japt.in/article.asp?issn=2772-6355;year=2018;volume=1;issue=1;spage=29;epage=32;aulast=Govindasamy;type=0
work_keys_str_mv AT cgovindasamy pulmonarybotryomycosis
AT cselvi pulmonarybotryomycosis
AT rnarasimhan pulmonarybotryomycosis