The conundrum of granular bacteriosis in the submandibular region-A case report

Botryomycosis has emerged as a multifaceted entity caused by both the aerobes as well as the anaerobes, however, the exact nature of this entity is not understood in entirety as there are varying reports pertaining to its association with other conditions, clinical presentations and the host's immune status. In the present report we describe a case of granular bacteriosis in a 34 year old male patient with an unclear clinical presentation. The use of the term "granular bacteriosis" when there is misconstrued clinical and microbiologic presentation is the highlight of this paper and the isolated causative factor in the present case is Propionibacterium acnes (P. acnes).