Abstract

This is a brief case-report, describing an extensive area of skin necrosis due to a rare condition. In literature, cases of warfarin-induced skin necrosis have been reported, but to the best of our knowledge, there is no report of skin necrosis following therapeutic dose of cephalexin. Here we highlight the potentially serious, yet uncommon adverse reactions associated with the use of cephalexin.

Highlights

  • Breast gangrene is rare in surgical practice

  • Breast necrosis has been reported as a complication following puerperal sepsis, breast surgery, nipple piercings, warfarin toxicity etc

  • We report a case of primary whole breast gangrene in a previously healthy woman with history of cephalexin and dexamethasone usage

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Summary

Introduction

Breast necrosis has been reported as a complication following puerperal sepsis, breast surgery, nipple piercings, warfarin toxicity etc. We report a case of primary whole breast gangrene in a previously healthy woman with history of cephalexin and dexamethasone usage. Case Presentation cells/mm3), anemia (Hg 6.4) and hypreglycaemia (RBG 185), other biochemistry tests were within the normal range. Color Doppler ultrasound revealed normal bilateral arterial flow in both the subclavian and temporal artery. A 57-year-old woman with newly diagnosed Diabetes Mellitus presented to the emergency department complaining of a four-day history of severe pain, swelling, and hyperpigmentation of the right breast.

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