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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1594 - 04 August Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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2 year-old with left knee mass

Case Posted by Dr Hafeez Diwan


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User Feedback


Raul Perret

Posted

I find it hard to make an interpretation with these images but my impression was botryomycosis, I think we can see the eosinophilic coat in the last picture (Splendore-Hoeppli Phenomenon). DD: Mycetoma (I think it is even rarer than botryomycosis in patients less than 5 years old). Peadiatric cases of Botryomycosis are rare in the peadiatric population and should make us consider immune disorders like hyperimmunoglobulinemia E syndrome http://www.ncbi.nlm.nih.gov/pubmed/3393403 

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Dr. Richard Carr

Posted

Agree with Raul, looks like bacterial cocci (botryo).

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vincenzo polizzi

Posted

Agree. No actinomycosis splendore hoeppli like (no club shaped peripheral formations), so I think staphylococcus or other botryomycosis bacterial cocci.

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biswanath behera

Posted

Grain with Splendore-Hoeppli phenomenon

 

dd- mycetoma or botryomycosis or primary cutaneous actinomycosis

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Dr. Mona Abdel-Halim

Posted

Agree with the differentials

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Dr. Hafeez Diwan

Posted

Botryomycosis (with cocci). 

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