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Blastomycosis-like pyoderma
Shweta S Sawalka1, Meghana M Phiske, H R Jerajani
1Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India. drshwetasawalka@yahoo.com
Indian Journal of Dermatology, Venereology and Leprology
|April 26, 2007
Summary
A pediatric case of blastomycosis-like pyoderma, a rare bacterial skin infection, was successfully treated with amoxicillin-clavulanic acid. This highlights the importance of early diagnosis and appropriate antibiotic therapy for this condition.
Area of Science:
- Dermatology
- Pediatric Infectious Diseases
- Microbiology
Background:
- Blastomycosis-like pyoderma is a rare bacterial infection that mimics fungal infections.
- Early diagnosis and treatment are crucial for managing this condition.
Observation:
- A 9-year-old female presented with recurrent, symmetrical, flesh-colored vegetative plaques, papules, and nodules on her trunk and extremities.
- Investigations revealed anemia, hypoproteinemia, decreased albumin, and a positive D-xylose test.
- Pus swab and biopsy identified Enterococci species.
Findings:
- Histopathological examination showed spongiotic psoriasiform dermatitis with a subcorneal pustule.
- The patient met the diagnostic criteria for blastomycosis-like pyoderma, including verrucous plaques with pustules, pseudoepitheliomatous hyperplasia, abscesses, and bacterial growth.
- The patient responded well to long-term amoxicillin-clavulanic acid therapy.
Implications:
- This case underscores the importance of considering bacterial infections in the differential diagnosis of skin conditions that resemble fungal infections.
- Prompt microbiological investigation and targeted antibiotic treatment are essential for effective management of blastomycosis-like pyoderma.
- Amoxicillin-clavulanic acid is an effective therapeutic option for blastomycosis-like pyoderma.
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