{'fraction_non_alphanumeric': 0.02066869300911854, 'fraction_numerical': 0.0, 'mean_word_length': 6.381165919282512, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Early botryomycosis‐like plaques in the setting of Corynebacterium striatum septicemia

Corynebacterium striatum (C. Striatum) is an increasingly recognized human pathogen, especially in the opportunistic setting. Few examples of skin infection by this organism have been previously described, mainly superimposed on preexisting ulcers. In this report, we present a patient with a complex medical history, including liver transplant complicated by graftversus-host disease and pancytopenia, who presented with septicemia secondary to C. striatum followed by the development of multiple large subcutaneous plaques and nodules. Histopathological examination demonstrated numerous amorphous granular colonies of gram-positive short bacilli surrounded by mild histiocytic inflammation, an appearance that is consistent with early non-ulcerated botryomycosis. This report aims to increase awareness of this potentially pathologic organism and the spectrum of its associated dermatologic manifestations. Botryomycosis is a rarely seen chronic inflammatory response to bacterial infections where the causative microorganisms are identified within eosinophilic granules. Clinically, botryomycosis presents as subcutaneous plaques, nodules, abscesses, and fistulae with or without ulcerations, and purulent drainage. Since its initial description and characterization, several causative organisms of botryomycosis have been identified including, most frequently, Staphylococcus aureus and other less commonly observed organisms such as Pseudomonas, Proteus, and Escherichia coli. Here, to the best of our knowledge, we describe the first recorded case of