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Oral botryomycosis: a case report

Published online by Cambridge University Press:  29 June 2007

Anand K. Devaiah
Affiliation:
Department of Otolaryngology–Head & Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Henry T. Hoffman*
Affiliation:
Department of Otolaryngology–Head & Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Robert A. Robinson
Affiliation:
Department of Pathology, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA. Department of Ophthalmology, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Keith Carter
Affiliation:
Department of Ophthalmology, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
*
Address for correspondence: Henry T. Hoffman, M.D., University of Iowa Hospitals and Clinics, Department of Otolaryngology – Head and Neck Surgery, 200 Hawkins Drive, Iowa City, Iowa 52242, USA.

Abstract

We present a 42-year-old male with botryomycosis initially presenting with left-sided proptosis due to an infraorbital mass. A biopsy through an anterior orbitotomy yielded indeterminate histopathology. The patient later developed a similar oral lesion which was biopsied and found to be botryomycosis. The oral lesion recurred after initial surgical treatment, but responded to antibiotic therapy. Discussion of this case along with a review of the literature is presented to offer guidelines for recognition and managment of this rare disorder.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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