Publication

Abstract : Botryomycosis is a chronic suppurative granulomatous disease of the skin viscera. It is known to mimic diseases such as actinomycosis and invasive carcinoma. Visceral botryomycosis is a rare entity compared with its cutaneous counterpart. It can be identified using staining techniques such as Gomori methenamine silver, periodic acid-Schiff Gram stain, histopathological examination, and aerobic culture of the lesion. Splendore-Hoeppli phenomenon is a characteristic feature of this disease. It responds to prolonged treatment with beta-lactams and surgery.There have been very few case reports on visceral botryomycosis across the world. We report a case of pancreatic botryomycosis caused by viridans streptococci in a patient with chronic calcific pancreatitis who was presumptively diagnosed as having carcinoma of the head of the pancreas. © 2015 Wolters Kluwer Health, Inc. All rights reserved.