A Mysterious Case of Vulval Botryomycosis Simulating Lymphangiectasias – A Special Case Report

Abstract

Botryomycosis (or bacterial pseudomycosis or pyoderma vegetans) is a rare chronic, granulomatous, suppurative bacterial infection involving the skin and subcutaneous tissues. It was first described by bollinger. We are reporting the first case report of vulval Botryomycosis in Asia. A 55 year old married female presented with a multiple fluid filled cystic vesicles in the vulval region for 6 month. The diagnosis of botryomycosis was confirmed by biopsy. The tissue samples on blood agar and Mc conkey agar revealed the presence of beta hemolytic colonies. She was treated with antibiotics as per the sensitivity pattern. It is crucial to diagnose this disease at an earlier stage to prevent irreversible scarring and permanent damage to the underlying structure.