“…Patients usually present with chronic, nonhealing skin lesions with granules (figure 1), possible sinus tracts, nodules, fistulae, ulcers, or abscesses. Infection can spread locally to involve muscle, bone, and organs, such as the heart, lung, liver, brain, kidney, prostate gland, eye, mouth, and pericardium [1,3,5,6]. Botryomycosis has been reported sporadically worldwide, with a male-to-female ratio of 3:2 [6], and affects patients of all ages [7].…”