Botryomycosis - Cellulitis
Disease is reported worldwide; skin involvement accounts for two-thirds of cases. These patients usually have no systemic symptoms, although local pain and pruritus may occur. A visceral form (usually involving the lungs, but sometimes disseminating to kidney, liver, or nodes) may occur in the chronically debilitated.
A history of local injury is common. Patients with low T-cell counts are predisposed, as are patients with alcoholic liver disease, diabetes, HIV, cystic fibrosis, hyper-IgE syndrome, and those on chronic corticosteroids.
Botryomycosis may be confused with cellulitis. Immunosuppression and the finding of lesions discharging a granular, purulent drainage should prompt consideration of this diagnosis.
B48.8 – Other specified mycoses
238413001 – Botryomycosis
- Majocchi's granuloma
- Sweet's syndrome
- Pyoderma gangrenosum
- Cutaneous tuberculosis and atypical mycobacteria
- Syphilis, tertiary
- Giant keratoacanthomas
- Impetigo, non-bullous (and pyoderma vegetans)