Botriomicosis cutánea en lesiones secuelares de leishmaniasis cutánea: reporte de caso en Perú

Jossy Elena García-Ubillús; Josué M. Flores-Espejo; Rafael Alarco Herrera; Roger Sernaque Mechato

doi:10.17843/rpmesp.2026.432.15488

Authors

Jossy Elena García-Ubillús Facultad de Medicina Humana, Universidad de Piura, Lima, Perú https://orcid.org/0009-0007-7852-4567
Josué M. Flores-Espejo Facultad de Medicina Humana, Universidad de Piura, Lima, Perú https://orcid.org/0009-0002-4384-6084
Rafael Alarco Herrera Facultad de Medicina Humana, Universidad de Piura, Lima, Perú https://orcid.org/0000-0002-6654-6036
Roger Sernaque Mechato Departamento de Medicina Interna, Hospital Santa Rosa, Lima, Perú https://orcid.org/0009-0008-8306-2579

DOI:

https://doi.org/10.17843/rpmesp.2026.432.15488

Keywords:

Staphylococcus haemolyticus, Botryomycosis, Mycetoma, Skin Diseases, Bacterial, Actinomycosis

Abstract

Botryomycosis is a rare chronic bacterial infection characterized by bacterial granules in an eosinophilic atrix. We present the case of a 47-year-old male with progressive cutaneous lesions, initially treated as leishmaniasis without favorable clinical response. The diagnosis of cutaneous botryomycosis was confirmed by the identification of the Splendore-Hoeppli phenomenon in the biopsy. Additionally, the isolation of Staphylococcus haemolyticus guided the antibiotic treatment, achieving a partial response. This case highlights the importance of considering botryomycosis within the differential diagnosis of chronic cutaneo.

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