BACKGROUND: Herein we report a case of @entity1776 , with discussion of the nosological setting of this entity based upon the clinical and histological findings. PATIENTS AND METHODS: A 62-year-old woman receiving @entity1499 for @entity14041 was admitted for fever of 38.5  C and overall impairment of her health. She presented a fistulous nodule on her right knee, and skin biopsy revealed a focus of ulcerated suppuration with quantities of Gram+ and Grocott+ granules containing no filament, enclosed by eosinophilic matter ( @entity2407 ). A sample of effusion from the sole of her right foot revealed a @entity3256 -sensitive strain of Staphylococcus aureus, which was also found in several blood cultures. Two abscessed nodules on the middle right lobe were visible on a thoracic CT scan despite the initial absence of respiratory symptoms. In view of this @entity582 of cutaneous origin with @entity295 caused by @entity3256 -sensitive S.  aureus complicated by @entity1997 , dual antibiotic treatment against staphylococci ( @entity5152 - @entity801 followed by @entity1215 - @entity800 ) was given over a two-month period. DISCUSSION: The histological picture of granular bacteriosis suggested the possibility of botryomycosis or @entity13443 . Botryomycosis involves chronic, relapsing, weeping and ulcero-vegetating abscesses. @entity13443 consists of fistulous swellings that secrete a discharge composed of blood and serum and containing grains made up of filaments. Although the staphylococcal organism identified was evocative of botryomycosis, the clinical findings were not consistent with either of these entities, since they revealed an acute @entity2348 . The most adequate term is thus the more generic name of septic cutaneous granular abscess.

[ XXXX occurring in Staphylococcus aureus septicaemia].

@entity3256 :: ('MESH:D008712', 'Chemical') :: ['methicillin'] @entity1997 :: ('MESH:D008169', 'Disease') :: ['pulmonary abscesses'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity801 :: ('MESH:D005839', 'Chemical') :: ['gentamicin'] @entity1776 :: ('MESH:D016586', 'Disease') :: ['cutaneous granular bacteriosis'] @entity13443 :: ('MESH:D008271', 'Disease') :: ['Mycetoma', 'mycetoma'] @entity5152 :: ('MESH:D003023', 'Chemical') :: ['cloxacillin'] @entity2407 :: ('MESH:D011928', 'Disease') :: ['Splendore-Hoeppli phenomenon'] @entity2348 :: ('MESH:D001424', 'Disease') :: ['bacterial abscess'] @entity14041 :: ('MESH:D012751', 'Disease') :: ['Sezary syndrome'] @entity1215 :: ('MESH:D012293', 'Chemical') :: ['rifampicin'] @entity582 :: ('MESH:C531821', 'Disease') :: ['bacteraemia'] @entity1499 :: ('MESH:D008727', 'Chemical') :: ['methotrexate'] @entity800 :: ('MESH:D015242', 'Chemical') :: ['ofloxacin']
@entity1776 :: (MESH:D016586,Disease) :: ['Cutaneous granular bacteriosis']
