Staphylococcus aureus isolated from a case of lymph node botryomycosis

Botryomycosis is an uncommon chronic bacterial infection, which usually involves the skin and the subcutaneous tissues. Visceral involvement often occurs in immunodepressed patients. We describe the case of a 4-year-old boy who presented a right inguinal inflammatory mass associated with pruritic pa...

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Veröffentlicht in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2008-09, Vol.15 (9), p.1440-1442
Hauptverfasser: Coulibaly, B, Géraldine, H, Le Hémon, A, Gouriet, F, Marie-Anne, C
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container_issue 9
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container_title Archives de pédiatrie : organe officiel de la Société française de pédiatrie
container_volume 15
creator Coulibaly, B
Géraldine, H
Le Hémon, A
Gouriet, F
Marie-Anne, C
description Botryomycosis is an uncommon chronic bacterial infection, which usually involves the skin and the subcutaneous tissues. Visceral involvement often occurs in immunodepressed patients. We describe the case of a 4-year-old boy who presented a right inguinal inflammatory mass associated with pruritic papules without fever. Blood analyses showed a substantial inflammatory syndrome and blood hypereosinophilia. Histological examination of the right inguinal lymph node showed granulomatous adenitis with a Splendore-Hoeppli phenomenon surrounding Gram-positive bacteria, corresponding to Staphylococcus aureus after biopsy culture. The diagnosis of S. aureus lymph node botryomycosis was made and the child was successfully treated with a double dose of oxacillin over 3 weeks.
doi_str_mv 10.1016/j.arcped.2008.06.005
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subjects Anti-Bacterial Agents - therapeutic use
Child, Preschool
Humans
Lymphatic Diseases - drug therapy
Lymphatic Diseases - microbiology
Male
Oxacillin - therapeutic use
Staphylococcal Infections - diagnosis
Staphylococcal Infections - drug therapy
Staphylococcus aureus - isolation & purification
title Staphylococcus aureus isolated from a case of lymph node botryomycosis
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