Pulmonary botryomycosis: A difficult diagnosis in the preoperative patient

Hodgson, Russell; Blackmore, Shane A.; Clarke, C. P.

doi:10.1016/j.jtcvs.2005.06.001

Cited by 11 publications

(7 citation statements)

References 5 publications

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“…Algunos factores que aumentan la probabilidad de desarrollar botriomicosis son (6,7) : alcoholismo, diabetes mellitus, infección por VIH, fibrosis quística, enfermedades granulomatosas crónicas, traumas y complicaciones quirúrgicas. A diferencia de reportes previos (Tabla 2), en nuestro caso no se pudo identificar un factor de riesgo específico que hubiese predispuesto a la inmunodeficiencia, antecedente clave permite realizar un diagnóstico temprano de la enfermedad.…”

Section: Discussionunclassified

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Paciente con botriomicosis pulmonar primaria confundida con actinomicosis: una mortal e infrecuente enfermedad infecciosa

Nakandakari

Rosa

Gutiérrez³

et al. 2019

Acta Med Peru

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La botriomicosis es una mortal e infrecuente infección bacteriana granulomatosa supurativa. Presentamos el caso de una paciente de 52 años que reingresó por cuadro respiratorio complicado dos meses anteriores, con síntomas caracterizados por tos, disnea, alza térmica, inapetencia y pérdida de peso. En la tomografía pulmonar se observó fibrosis, infiltrado alveolar bilateral, cavidades y bronquiectasias bilaterales. La citología de aspirado bronquial mostró gránulos azurófilos haciendo sospechar de actinomicosis, por lo que se le dio tratamiento con penicilina, sin mejoría. En el segundo cultivo de aspirado bronquial el patólogo describió a dos grupos de colonias bacterianas gramnegativas de Escherichia coli, las cuales simularon gránulos azurófilos, planteándose como diagnóstico definitivo botriomicosis pulmonar por E. coli BLEE, no obstante, la paciente ya había fallecido. Como conclusión, se reporta una patología infecciosa de muy baja prevalencia, pero frecuentemente confundida con la Actinomicosis, cuyo diagnóstico temprano es extremadamente importante para reducir su alta mortalidad.

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Section: Discussionunclassified

“…Otras pruebas VIH (no reactivo), BK en esputo (-), Anti-GBM (<1:4), Anti-DNA (31), ANA (-), C3 (133), C4 (28), proteínas A3 (1,2), MPO (3,6), ANCA (-). Excelente respuesta clínica a la terapia.…”

Section: Inmunodifusiónunclassified

Paciente con botriomicosis pulmonar primaria confundida con actinomicosis: una mortal e infrecuente enfermedad infecciosa

Nakandakari

Rosa

Gutiérrez³

et al. 2019

Acta Med Peru

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“…In human beings, surgery together with antibiotic treatment is the general approach to BM, as the encapsulation of the organisms in granules protects them from the effects of antibiotics (Kathir and Dennis 2001). However, antimicrobial therapy alone in a few cases (Vasishta and others 2004, Vera‐Alvarez and others 2006), and surgery alone in one (Hodgson and others 2005), have been reported as successful. In veterinary medicine, all previously reported cases of PB were diagnosed at post‐mortem examination.…”

Section: Discussionmentioning

confidence: 99%

Septic pericardial effusion associated with pulmonary and pericardial botryomycosis in a dog

Casamian‐Sorrosal

Fournier²,

Shippam

et al. 2008

J of Small Animal Practice

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The authors report a case of septic pericardial effusion resulting in cardiac tamponade associated with intrathoracic botryomycosis in a dog. Septic pericarditis and a pulmonary mass were diagnosed, and subtotal pericardiectomy and lobectomy of the affected pulmonary areas were carried out. Histopathology of the excised tissue showed changes supportive of botryomycosis--namely a pyogranulomatous inflammation with neutrophils centred around amorphous homogeneous eosinophilic material and club-like bodies containing Gram-positive bacterial cocci present in the centre. The patient recovered well following surgery and antibiotic therapy. To the authors' knowledge, this is the first report of pulmonary botryomycosis in the dog and the first report of this condition presented with pericardial involvement and cardiac tamponade in any species.

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“…Clinically, crusts, pustules, verrucous lesions, abscesses, sinus tracts and ulcerations are seen [2]. In most cases manifestation on the skin is reported; in rare cases there can be visceral involvement [3,4,5,6]. Staphylococcus aureus and Pseudomonas aeruginosa are among the most common triggers of botryomycosis, but Escherichia coli, Serratia, Proteus, coagulase-negative staphylococci, streptococci, micrococci and anaerobes have been identifi ed in association with botryomycosis [7].…”

Section: Commentarymentioning

confidence: 99%

Digital nodules and pustules in a patient with Crohn disease

Gronau

Wolter

Niedergethmann

et al. 2012

J Deutsche Derma Gesell

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A 55-year-old cachectic (BMI 16.7 kg/m 2 ) man with known Crohn disease as well as long-standing immunosuppressive therapy and alcohol abuse developed fi rm subcutaneous nodules and pustules two years after an injury to the right index fi nger. These extended over the entire index fi nger, the palm and from the dorsum of the hand to the dorsomedial forearm and were associated with burning pain and reduced function ( Figure 1). Histopathology findingsHistology revealed neutrophilic infl ammation with pustules and abscesses (Figure 2). A further biopsy additionally detected drusen with amorphous concretions and chronic neutrophil-rich granulomatous infl ammation (Figure 3). Isolation of a pathogen from pus or tissue was not possible.

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Pulmonary botryomycosis: A difficult diagnosis in the preoperative patient

Cited by 11 publications

References 5 publications

Paciente con botriomicosis pulmonar primaria confundida con actinomicosis: una mortal e infrecuente enfermedad infecciosa

Paciente con botriomicosis pulmonar primaria confundida con actinomicosis: una mortal e infrecuente enfermedad infecciosa

Septic pericardial effusion associated with pulmonary and pericardial botryomycosis in a dog

Digital nodules and pustules in a patient with Crohn disease

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