Botryomycosis of the vulva: a case report.
作者信息
Elas Diane, Swick Brian, Stone Mary S, Miller Merida, Stockdale Colleen
机构信息
Departments of 1Obstetrics and Gynecology and 2Dermatology and Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA.
出版信息
J Low Genit Tract Dis. 2014 Jul;18(3):e80-3. doi: 10.1097/LGT.0000000000000009.
OBJECTIVE
Vulvar ulcers may be caused by various etiologies including infection, trauma, dermatosis, and cancer. We report a case of a vulvar ulcer caused by botryomycosis.
CASE
An 85-year-old woman presented with vulvar itching, pain, bleeding, and ulcerations suspicious for cancer. Biopsies of the ulcers returned without dysplasia or malignancy. She was referred to the tertiary care vulvar vaginal disease clinic. Dermatopathologic reevaluation of pathologic slides diagnosed lichen sclerosus and botryomycosis. The patient was treated with ciprofloxacin for 7 weeks with complete resolution of vulvar ulcerations.
CONCLUSION
Botryomycosis should be included in the differential diagnosis of infectious etiology of vulvar ulcers.
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