Abstract:

Abstract: A 61-year-old man, presented with irregular verrucous plaque overlying crusting and erosions on both big toes after nails had been pulled out 1 years ago . Pus swab and biopsy for culture sensitivity showed Enterococcus faecalis. Biopsy showed pseudoepitheliomatous hyperplasia with abscess. He fulfilled criteria for the diagnosis of blastomycosis-like pyoderma viz. presentation of large verrucous plaques with pustules and elevated border, pseudoepitheliomatous hyperplasia with abscess histologically and growth of one pathogenic bacterium on culture or tissue biopsy. He responded to long-term systemic antibiotic therapy.

Key words: Key words: Enterococcus faecalis, Blastomycosis-like pyoderma