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Rectal botryomycosis mimicking carcinoma.

Shubha N Rao1, Kalpana Sridhar, Ramchandra Pai

  • 1Department of Surgery, K M C, Mangalore. rbekal9@hotmail.com

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|November 6, 2002
PubMed
Summary

Botryomycosis, a rare granulomatous infection, can mimic rectal cancer. This case report details a successful treatment of rectal botryomycosis with erythromycin in a 54-year-old woman.

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Area of Science:

  • Medical Mycology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Botryomycosis is a rare, chronic granulomatous infection characterized by the presence of fungus-like grains.
  • Historically recognized in veterinary medicine, particularly in horses.
  • Differential diagnosis of botryomycosis is crucial, especially when presenting as a rectal mass.

Observation:

  • A 54-year-old female patient presented with symptoms highly suggestive of rectal carcinoma.
  • Diagnostic investigations revealed a rectal lesion consistent with botryomycosis, not malignancy.
  • The characteristic fungus-like grains were noted within the lesion.

Findings:

  • Rectal botryomycosis was diagnosed in a patient initially suspected of having rectal cancer.

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  • The patient demonstrated a positive clinical response to erythromycin therapy.
  • This highlights the importance of considering rare infections in the differential diagnosis of rectal masses.

    • Implications:

    • This case underscores the necessity of including botryomycosis in the differential diagnosis for rectal masses, even in the absence of typical risk factors.
    • Successful treatment with erythromycin suggests its efficacy for rectal botryomycosis.
    • Further research may elucidate optimal diagnostic and therapeutic strategies for this uncommon condition.