BOTRYOMYTOSIS IN ACQUIRED-IMMUNODEFICIENCY-SYNDROME

Staphylococcal infections have been frequently reported in patients wi th advancing HIV disease. The authors report herein an unusual case of botryomycosis in a patient with acquired immunodeficiency syndrome (A IDS). The clinical findings were painful, populo-nodular lesions of th e scalp, trunk and extremities chronic folliculitis or prurigo-nodular is and an abscess on the right gluteus. Staphylococcus aureus was isol ated as the etiologic agent. The histopathologic evidence of suppurati ve foci containing the key to the diagnosis of botryomycosis. The pati ent's neutrophil phagocytosis test was slightly reduced. Antimicrobial therapy improved most of the cutaneous lesions and surgical excision was performed for the resistant one.