- Email: [email protected]
Pyogenic granuloma satellite of deep infection: Tuberculous osteitis
Joint Bone Spine 80 (2013) 540
Available online at www.sciencedirect.com
Images in rheumatology
Pyogenic granuloma satellite of deep infection: Tuberculous osteitis Noama Karbout a,∗ , Ouafa Hocar a , Said Amal a , Imane Ouilki b , Selma El Hassani b , Nadia Akhdari a a b
Department of Dermatology, Hôpital Ibn-Tofail, University Cadi Ayyad, Mohammed VI University Hospital, Marrakech, Morocco Department of Rhumatology, Hôpital Ibn-Tofail, University Cadi Ayyad, Mohammed VI University Hospital, Marrakech, Morocco
Fig. 1.
Mrs. E.A., 58 years, consulted for a fleshy tumor of the left ankle (Fig. 1) whose biopsy revealed a richly vascularized granulation tissue surrounded by abundant inflammatory cells without tuberculoid granuloma or any evidence of malignancy and was in favor of a pyogenic granuloma (botryomycoma). Radiography of the ankle showed an aspect of moth-eaten of the calcaneus. The joint ultrasound showed a heterogeneous collection silos whose puncture found no liquid. Computed tomography of the foot showed bone geodes, periarticular collection and suggestive soft tissue calcifications of chronic osteitis (Fig. 2). Excision of botryomycoma was performed, pus drain and biopsy of the underlying bone. The pus bacteriological study was not contributive. The culture was sterile. Bone biopsy showed epithelioid granulomas with giant cell ranges and caseous necrosis in favor of bone tuberculosis. Search of other locations was negative. The botryomycoma is a benign inflammatory vascular tumor of skin and mucous membranes, often due to a trauma [1].
Fig. 2.
The association with deep infection including bone is rare [2]. This observation has revealed an association with bone tuberculosis. Disclosure of interest The authors declare that they have no conflicts of interest concerning this article. References [1] Wauters O, Sabatiello M, Nikkels-Tassoudji N, et al. Le botriomycome. Ann Dermatol Venerol 2010;137:237. [2] Sparsa A. Botriomycomes révélant une fistule et un foyer infectieux profond: cinq cas. Ann Dermatol Venereol 2006;133:763–6.
∗ Corresponding author. E-mail address: [email protected] (N. Karbout). 1297-319X/$ – see front matter © 2013 Société franc¸aise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved. doi:10.1016/j.jbspin.2013.03.015
Available online at www.sciencedirect.com
Images in rheumatology
Pyogenic granuloma satellite of deep infection: Tuberculous osteitis Noama Karbout a,∗ , Ouafa Hocar a , Said Amal a , Imane Ouilki b , Selma El Hassani b , Nadia Akhdari a a b
Department of Dermatology, Hôpital Ibn-Tofail, University Cadi Ayyad, Mohammed VI University Hospital, Marrakech, Morocco Department of Rhumatology, Hôpital Ibn-Tofail, University Cadi Ayyad, Mohammed VI University Hospital, Marrakech, Morocco
Fig. 1.
Mrs. E.A., 58 years, consulted for a fleshy tumor of the left ankle (Fig. 1) whose biopsy revealed a richly vascularized granulation tissue surrounded by abundant inflammatory cells without tuberculoid granuloma or any evidence of malignancy and was in favor of a pyogenic granuloma (botryomycoma). Radiography of the ankle showed an aspect of moth-eaten of the calcaneus. The joint ultrasound showed a heterogeneous collection silos whose puncture found no liquid. Computed tomography of the foot showed bone geodes, periarticular collection and suggestive soft tissue calcifications of chronic osteitis (Fig. 2). Excision of botryomycoma was performed, pus drain and biopsy of the underlying bone. The pus bacteriological study was not contributive. The culture was sterile. Bone biopsy showed epithelioid granulomas with giant cell ranges and caseous necrosis in favor of bone tuberculosis. Search of other locations was negative. The botryomycoma is a benign inflammatory vascular tumor of skin and mucous membranes, often due to a trauma [1].
Fig. 2.
The association with deep infection including bone is rare [2]. This observation has revealed an association with bone tuberculosis. Disclosure of interest The authors declare that they have no conflicts of interest concerning this article. References [1] Wauters O, Sabatiello M, Nikkels-Tassoudji N, et al. Le botriomycome. Ann Dermatol Venerol 2010;137:237. [2] Sparsa A. Botriomycomes révélant une fistule et un foyer infectieux profond: cinq cas. Ann Dermatol Venereol 2006;133:763–6.
∗ Corresponding author. E-mail address: [email protected] (N. Karbout). 1297-319X/$ – see front matter © 2013 Société franc¸aise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved. doi:10.1016/j.jbspin.2013.03.015