Ahdoot D, Rickman L S, Haghighi P, Heard W U
Department of Medicine, University of California Medical Center, San Diego 92103, USA.
Cutis. 1995 Mar;55(3):149-52.
Botryomycosis is a rare bacterial infection that may mimic fungal disease both clinically and histologically. Cutaneous botryomycosis is uncommon and usually appears as plaques with superficial pustules and crusts. On microscopic examination lesions are characterized by the presence of granules that resemble the sulfur granules of actinomyces with a granulomatous inflammatory response. An increased incidence has been reported in populations with altered immune function and the presentation may be atypical in patients with the acquired immunodeficiency syndrome. We report the successful treatment of a case of mucocutaneous botryomycosis in a patient with acquired immunodeficiency syndrome. A review of the literature is presented, with special emphasis on cutaneous manifestations of botryomycosis in patients with acquired immunodeficiency syndrome.
葡萄状菌病是一种罕见的细菌感染，在临床和组织学上都可能类似真菌病。皮肤葡萄状菌病并不常见，通常表现为带有浅表脓疱和结痂的斑块。显微镜检查时，病变的特征是存在类似放线菌硫颗粒的颗粒，并伴有肉芽肿性炎症反应。据报道，免疫功能改变人群的发病率有所增加，在获得性免疫缺陷综合征患者中，其表现可能不典型。我们报告了1例获得性免疫缺陷综合征患者黏膜皮肤葡萄状菌病的成功治疗病例。本文对相关文献进行了综述，特别强调了获得性免疫缺陷综合征患者葡萄状菌病的皮肤表现。
