Disseminated botryomycosis: a rare presentation.

ABSTRACT

Botryomycosis is a rare chronic bacterial infection of the skin or viscera that resembles a deep fungal infection. Botryomycosis has two distinct patterns of infection, visceral and cutaneous, the latter being the most common. Cutaneous botryomycosis typically appears as a solitary plaque with superficial pustules. Histologically, bacterial colonies are arranged in a distinctive "bunch of grapes" pattern with surrounding eosinophilia, known as the Splendore-Hoeppli phenomenon. Here we report a case of an 83-year-old female with disseminated botryomycosis.