title: Botryomycosis of the vulva: a case report.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Botryomycosis should be included in the differential diagnosis of infectious etiology of vulvar ulcers.
authors.affiliation: Departments of 1Obstetrics and Gynecology and 2Dermatology and Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA.
authors.forename: Diane
authors.initials: D
authors.lastname: Elas
authors.forename: Brian
authors.initials: B
authors.lastname: Swick
authors.forename: Mary S
authors.initials: MS
authors.lastname: Stone
authors.forename: Merida
authors.initials: M
authors.lastname: Miller
authors.forename: Colleen
authors.initials: C
authors.lastname: Stockdale
mesh_terms: D000369:Aged, 80 and over; D020171:Botrytis / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D009181:Mycoses / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D014456:Ulcer / Q000209:etiology* / Q000382:microbiology / Q000473:pathology*; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*