Botryomycosis is a chronic, suppurative, granulomatous, bacterial infection of the skin and subcutaneous tissues. The most common causative organisms are Staphylococcus aureus, and Pseudomonas sp. We report an interesting case of a 54 year old immunocompetent female who presented with a verrucous lesion over the left side of her neck since last 4 years. The case is reported for the persistence of lesion and its unique lymphatic spread. Resolution was achieved with a prolonged course of antibiotics (amoxicillin-clavulanic acid, ciprofloxacin, and vancomycin) and surgical debridement.