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A curious case of upper limb infection.

Shubham Chopra1, Twinkle Singh Thakur1, Bhushan Madke1

  • 1Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, 233642Datta Meghe Institute of Medical Sciences, Wardha, India.

Tropical Doctor
|March 21, 2022
PubMed
Summary

A chronic upper limb infection, diagnosed as Botryomycosis, developed in an immunocompetent male after farm-related penetrating trauma. Prompt microbiological identification and prolonged parenteral antibiotic treatment were crucial for managing this rare bacterial infection.

Keywords:
Asiadiseasedisease controlgeneral healthlocationphysiologyskin and connective tissue

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Dermatology

Background:

  • Botryomycosis is a rare, chronic bacterial infection typically affecting the skin and subcutaneous tissues.
  • It often arises following minor trauma, particularly in immunocompetent individuals.
  • The condition can present insidiously, making early diagnosis challenging.

Observation:

  • A case of chronic upper limb infection in an immunocompetent male is presented.
  • The infection originated after a penetrating injury from a wooden splinter sustained during agricultural work.
  • Clinical presentation suggested a deep-seated infection requiring detailed etiological investigation.

Findings:

  • Microbiological studies were essential for confirming the diagnosis of Botryomycosis.
  • Causative bacterial agents were identified, guiding targeted antimicrobial therapy.
  • Histopathological examination, though not explicitly detailed, is typically crucial for Botryomycosis diagnosis.

Implications:

  • This case highlights the importance of considering Botryomycosis in chronic infections following penetrating trauma, even in immunocompetent hosts.
  • Accurate microbiological diagnosis is paramount for effective treatment of Botryomycosis.
  • Prolonged parenteral antibiotic therapy is often necessary for successful management, underscoring the need for sustained treatment protocols.