Resumen

MARCANO, MJ et al. Botriomycosis: Unusual bacterial granulomatosis infection. review of literature. Rev. Soc. Ven. Microbiol. [online]. 2003, vol.23, n.1, pp.65-69. ISSN 1315-2556.

    Botryomycosis is a granulomatous chronic infection caused by bacteria that affect skin and viscera. It was described for the first time in 1870 by Bollinger, the first case in human was reported in 1910 by Archibald. Clinically it mimics pathologies as tumors (Slootmaekers, 1997) and fungal or actinomicetal infections (Picou, 1979). In histology, can be presented with characteristic common to fungal and bacterial infections very specific. Staphylococcus aureus is the most frequent agent (Wu, 1978), follow of Pseudomonas sp, E. coli, Neisseria sp, (Bishop 1976; Fain 1997; Washburn 1985). Macroscopically is characterized by nodule lesions, of contained dead white blood cells, with tendency to do fistula; and microscopically for granulomas with bacterial groupings in clusters generally absorbed in a main actinomycotical hialin eosinofílic (Shlossberg, 1998), contained in a fibrous capsule, appearance that looks like the granules. The cutaneous form is the most frequent and with better presage, contrary to the visceral form. The patology associates with cystic fibrosis (Katnelsen, 1964), alterations in the cellular immunity (Buckley, 1968), granulomatous chronic illness (Washburn, 1985), diabetes mellitus (Leibowitz, 1981), HIV positive patient (Toth, 1987), and as infection opportunistic (Klassen, 1996). The diagnosis is made done by the demonstration of the agent through stains, culture and other techniques; and excluding mycotic and actinomicetal infection (Brown, 1990). Treatment is with base to lingering antibiotics, surgical excision (Chu, 1994) and other complementary techniques (Leffell, 1989).

Palabras clave : Botriomicosis; infección granulomatosa bacteriana.