case_images: PMC4763675_01
case_images: Left leg showing (a) multiple nodules and discharging sinuses over medial aspect of thigh and groin (b) over calf (c) depressed scars over lower leg (d) scar on the sole, at the site of initial trauma
case_images: IJD-61-126b-g001.jpg
case_images: PMC4763675_01_IJD-61-126b-g001.jpg
case_images: F1
case_images: A few depressed scars were also found [Figure 1].
case_images: (a) Blood agar - Beta hemolysis (b) MacConkey agar - No growth (c) antibiotic sensitivity test plate - Methicillin sensitive Staphylococcus aureus (d) Gram-positive Cocci in minced tissue
case_images: IJD-61-126b-g002.jpg
case_images: PMC4763675_01_IJD-61-126b-g002.jpg
case_images: F2
case_images: Microscopy of minced tissue after Gram-stain showed Gram-positive cocci in groups and beta hemolysis was noted over blood agar, indicating Staphylococcus aureus as the underlying pathogen [Figure 2].
case_images: Histopathology (Grams-stain, x100). (a) Granule showing Gram-positive cocci surrounded by eosinophilic material (the Splendore-Hoeppli phenomenon)
case_images: IJD-61-126b-g003.jpg
case_images: PMC4763675_01_IJD-61-126b-g003.jpg
case_images: F3
case_images: Histopathological examination after Gram-stain revealed Gram-positive cocci surrounded by eosinophilic material (the Splendore-Hoeppli phenomenon) and further confirming the diagnosis to be botryomycosis [Figure 3].
case_images: After 2 months therapy, lesions healed with scarring over (a) thigh and groin (b) calf
case_images: IJD-61-126b-g004.jpg
case_images: PMC4763675_01_IJD-61-126b-g004.jpg
case_images: F4
case_images: Lesions healed with scarring after 2 months of therapy with cotrimoxazole [Figure 4].