A Post-Marsupialisation Vulval Botryomycosis in Northeast Nigeria: A Rare Case Report

Abstract

Abstract:

Botryomycosis is an uncommon chronic suppurative granulomatous infection that affects humans, usually involves the skin, and rarely viscera; it mimics other conditions like actinomycosis, mycetoma, and subcutaneous mycoses. We here report a unique case of a 42-year-old woman who is a known Human Immunodeficiency Virus (HIV) patient who had failed first-line anti-retroviral therapy, she presented with a 3-month history of post-marsupialization left labia multinodular swelling with discharging sinuses. Tissue biopsies for Microbiological and histologic diagnosis yielded Pseudomonas aeruginosa, Acinetobacter baumannii, and micro abscesses respectively. She was treated with Intravenous Amikacin for 10 days and later switched to oral levofloxacin for another 10 days based on the susceptibility result. This is the first reported case of Botryomycosis in Nigeria and the first case of Pelvic botryomycosis in the world.

Keywords: Botryomycosis, marsupialization, Nigeria