Acute ulcerated botryomycosis in an immunocompromised patient

Botryomycosis is a rare chronic granulomatous bacterial infection with approx. 200 reported cases worldwide. The most common microorganism associated with this condition is Staphylococcus aureus. Botryomycosis manifests itself across a spectrum of lesions with a characteristic histological feature known as the Splendore–Hoeppli phenomenon. Herein, we report the case of a 35-year-old female presenting with an ulcerated lesion and a previous diagnosis of lymphoblastic leukemia. Botryomycosis should be considered in immunosuppressed patients with ulcerated lesions. Treatment duration may range from four to eight weeks, with debridement if necessary. It is essential to exclude visceral involvement.