Botryomycosis is a rare chronic suppurative granulomatous bacterial infection, which can present as cutaneous or visceral disease. We present a case of cutaneous botryomycosis in a 68-year-old female patient, who presented to the Skin outpatient clinic with indurated nodular masses along with discharging sinuses, on the lower abdomen, persisting for the past 10 years. The patient underwent various treatments elsewhere with no improvement. Mycetoma, botryomycosis, and actinomycosis were considered as differential diagnoses. On culture, Staphylococcus aureus was isolated, which is the most common cause of botryomycosis. As per the sensitivity report, treatment was started with co-trimoxazole and the patient responded well to the antibiotic treatment given, hence the aetiological diagnosis is important for the management of such cases.
