[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 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.
Coulibaly
B
B
Service d'anatomie pathologique et de neuropathologie, CHU de la Timone, Marseille cedex 05, France. bema_coulibaly@yahoo.fr
Géraldine
H
H
Le Hémon
A
A
Gouriet
F
F
Marie-Anne
C
C
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D006801:Humans; D008206:Lymphatic Diseases / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D010068:Oxacillin / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents; D010068:Oxacillin