Chest
Volume 109, Issue 1, January 1996, Pages 276-278
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Selected Reports
Pulmonary Botryomycosis in a Patient With AIDS

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We describe the clinical and pathologic findings of the first reported case of pulmonary botryomycosis in a patient with AIDS. Botryomycosis is an uncommon, chronic, suppurative disease that is often mistaken clinically and histologically for a fungal infection. The patient responded to systemic antibiotic therapy.

Section snippets

Clinical Data

A 36-year-old heterosexual male, chronic smoker presented with a history of blood-streaked sputum and cough for 3 days. He had no history of fever, chills, shortness of breath, persistent cough, weight loss, nor any exposure to tuberculosis.

The physical and clinical examination disclosed no abnormalities except for severe human papilloma virus infection involving the penis. The CBC count and differential cell counts were within normal limits. A chest x-ray film showed a single mass, 5 cm in

DISCUSSION

Botryomycosis is a chronic suppurative lesion with characteristic grain formation in the pus caused by bacteria and frequently is mistaken for a fungal infection. It was first described in horses in 1870 by Bollinger4 and termed botryomycosis (Greek botrys for bunch of grapes and mycosis for fungal origin) by Rivolta5 who thought it was a fungal infection. It was Magrou6 who established the bacterial origin of botryomycosis in 1919, by isolating Staphylococcus aureus from an equine lesion and

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