Volume : 6, Issue : 11, November - 2017

BOTRYOMYCOSIS: AN OVERVIEW

Dr Rajashree Panigrahi, Dr Rani Sahu, Dr Saubhagya Kumar Jena

Abstract :

<p>&nbsp;<span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">Botryomycosis is a rare chronic granulomatous, bacterial infection that affects the skin, and sometimes the viscera. </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">The infection rate appears to be</span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;"> </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">increasing. </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">The diagnosis of botryomycosis is one that is often easily overlooked because it can be confused with other mycetoma, actinomycosis and nocardiosis. </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">Although infrequently botryomycosis is diagnosed, it should be considered in the differential diagnosis of any lesion where there is disruption of tissue-planes, erosion into bone, and granule formation occur.</span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;"> However, since multiple agents may determine formation of granules, varying from fungi to bacteria, direct mycological examinations, cultures in media for fungi to bacteria, and histopathology of the material with special staining are essential. </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">Cases may still be missed or mistakenly identified, mainly due to</span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;"> </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">confusion with fungal infections. It is advised that when a patient presents,</span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;"> </span><span lang="EN-IN" style="text-align: justify; text-indent: 0.5in; font-size: 12pt; line-height: 115%;">all investigations be correlated to reach the proper diagnosis.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;text-align:justify;text-justify:inter-ideograph;text-indent:.5in"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;mso-bidi-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p>