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Primary pulmonary botryomycosis: case report and review
S J Bersoff-Matcha1, C C Roper, H Liapis
1Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Summary
Botryomycosis is a rare bacterial infection causing eosinophilic granules. Diagnosis involves identifying bacteria in granules, with treatment requiring surgery and antibiotics.
Area of Science:
- Infectious Diseases
- Microbiology
- Pulmonology
Background:
- Botryomycosis is an uncommon bacterial disease.
- Characterized by microscopic eosinophilic granules resembling Actinomyces.
- Diagnosed via microscopic inspection and culture of granules revealing specific bacteria.
Observation:
- Caused by common pathogens like Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa.
- Pulmonary botryomycosis can mimic other serious conditions like tuberculosis or carcinoma.
- Radiographic findings include bone invasion and disruption of tissue planes.
Findings:
- The exact host and microbial factors driving botryomycosis pathobiology are unknown.
- Successful treatment typically involves surgical debridement and prolonged antimicrobial therapy.
- This report details a case of primary pulmonary botryomycosis and reviews existing literature.
Implications:
- Highlights the diagnostic challenges of botryomycosis, especially pulmonary cases.
- Underscores the need for combined therapeutic approaches for effective management.
- Contributes to understanding this unusual infectious process and its clinical presentation.