Abstract

Breast Abscess Caused by an Uncommon Pathogen - Actinobaculum Schaalii

Highlights

  • Over the recent years, the approach to treating breast abscesses has evolved from open surgical incision and drainage to minimally invasive radiologically guided aspiration combined with antimicrobial therapy which is critical for the success of this treatment approach [1]

  • Of late there been some studies reporting the antimicrobial pattern of primary breast abscesses, with some evidence suggesting the incidence of infection by uncommon organisms, such as Actinobaculum schaalii, might be increasing [2,3]

  • A 35-year-old Caucasian female with a medical history significant for obesity, asthma, smoking, previous Methicillin-Resistant Staphylococcus Aureus (MRSA) superficial skin infections and penicillin allergy presented to the emergency department with severe right breast pain

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Summary

Introduction

The approach to treating breast abscesses has evolved from open surgical incision and drainage to minimally invasive radiologically guided aspiration combined with antimicrobial therapy which is critical for the success of this treatment approach [1]. A 35-year-old Caucasian female with a medical history significant for obesity, asthma, smoking, previous Methicillin-Resistant Staphylococcus Aureus (MRSA) superficial skin infections and penicillin allergy presented to the emergency department with severe right breast pain. She reported a two-day history of a lump to her right breast that was painful and rapidly increasing in size. The patient was febrile to 38.0 C, blood pressure, pulse and saturations were within normal range Her physical exam showed a tender right breast fluctuant collection at 4 o’clock position measuring approximately 3cm.

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