Recurrent Breast Abscess Research Articles

Recurrent Bilateral Breast Abscesses after Sternotomy

Median sternotomy is the most commonly used incision in cardiothoracic procedures. Development of breast abscess after sternotomy is a very rare situation. We present a case of sternal wound infection with recurrent bilateral breast abscess after sternotomy. Our case is the first and only case in the literature due to the presence of sternal wound infection with recurrent bilateral breast abscess after sternotomy.

Breast Abscess due toMycobacterium Fortuitum: A Case Report

The rapidly growing nontuberculous mycobacterium, Mycobacterium fortuitum, is of increasing clinical importance. The ubiquitous M. fortuitum has been isolated from water, soil, and dust. M. fortuitum usually causes skin or soft-tissue infection following trauma or surgery, but may also infect a wide variety of tissues, including the lungs, lymph nodes, bones, joints, and meninges. We believe this is the first report of a breast abscess due to M. fortuitum, which presented in an immunocompetent woman in Korea after nipple piercing. A 26-year-old non-pregnant female presented with a 5-month history of a tender right breast lump that gradually increased in size. Pus from the right breast supported the growth of M. fortuitum. Mycobacterial infection should be considered in cases of recurrent breast abscess with sterile bacterial cultures, particularly when there is a history of nipple piercing procedures. (Korean J Med 2012;83:529-533)

Recurrent Breast Abscesses due toCorynebacterium kroppenstedtii, a Human Pathogen Uncommon in Caucasian Women

Background. Corynebacterium kroppenstedtii (Ck) was first described in 1998 from human sputum. Contrary to what is observed in ethnic groups such as Maori, Ck is rarely isolated from breast abscesses and granulomatous mastitis in Caucasian women. Case Presentation. We herein report a case of recurrent breast abscesses in a 46-year-old Caucasian woman. Conclusion. In the case of recurrent breast abscesses, even in Caucasian women, the possible involvement of Ck should be investigated. The current lack of such investigations, probably due to the difficulty to detect Ck, may cause the underestimation of such an aetiology.

Post-Transplant Lymphoproliferative Disorder at the Site of Recurrent Breast Abscesses

Post-Transplant Lymphoproliferative Disorder at the Site of Recurrent Breast Abscesses

Wegener’s Granulomatosis Presented as Recurrent Breast Abscess

Wegener’s Granulomatosis Presented as Recurrent Breast Abscess

Predictors of Primary Breast Abscesses and Recurrence

We investigated the patients and microbiological risk factors that predispose to the development of primary breast abscesses and subsequent recurrence. Patients with a primary breast abscess requiring surgical therapy between January 1, 2000 and December 31, 2006 were reviewed. Recurrent breast abscess was defined by the need for repeated drainage within 6 months. Patient characteristics were compared to the general population and between groups. A total of 89 patients with a primary breast abscess were identified; 12 (14%) were lactational and 77 (86%) were nonlactational. None of the lactational abscesses recurred, whereas 43 (57%) of the nonlactational abscesses did so (P < 0.01). Compared to the general population, patients with a primary breast abscess were predominantly African American (64% vs. 12%), had higher rates of obesity (body mass index > 30: 43% vs. 22%), and were tobacco smokers (45% vs, 23%) (P < 0.01 for all). The only factor significantly associated with recurrence in the multivariate logistic regression analysis was tobacco smoking (P = 0.003). Compared to patients who did not have a recurrence, patients with recurrent breast abscesses had a higher incidence of mixed bacteria (20.5% vs. 8.9%), anaerobes (4.5% vs. 0%), and Proteus (9.1% vs. 4.4%) but lower incidence of Staphylococcus (4.6% vs. 24.4%) (P < 0.05 for each). Risk factors for developing a primary breast abscess include African American race, obesity, and tobacco smoking. Patients with recurrent breast abscesses are more likely to be smokers and have mixed bacterial and anaerobic infections. Broader antibiotic coverage should be considered for the higher risk groups.

Breast Abscess in Lactation

A.B. is a 29‐year‐old gravida 1 para 1001 who experienced recurrent lactational breast abscess requiring surgical treatment. Her obstetric, medical, surgical, family, and social histories are unremarkable. She takes no medications and does not use alcohol, tobacco, or drugs. She gave birth at 41 weeks'gestation to a female infant, weighing 8 pounds 5 ounces. Her intrapartum course and immediate postpartum course were within normal limits. Breastfeeding was initiated within 40 minutes of birth and was successful. Her infant nursed on demand approximately every 2 to 4 hours while in the hospital. A.B. was discharged home with her baby at 28 hours postpartum. On day 3 postpartum, A.B.'s left nipple became cracked and bleeding. This was self‐treated with lanolin ointment and correction of latch‐on technique. Ten days postpartum, A.B. was diagnosed with mastitis and treated with dicloxacillin for 10 days. After 8 days of antibiotic treatment, she reported continued breast pain with a firm area of exquisite pain and redness in the upper outer quadrant of her left breast. The midwife ordered a breast ultrasound which revealed a 4‐cm abscess in the left breast. A.B. was referred to a therapeutic radiologist who performed an ultrasound‐guided needle aspiration of the abscess and obtained 15 mL of fluid. The fluid culture was positive for Staphylococcus aureus. She was treated postprocedure with doxycycline, and the breast pain, firmness and redness resolved within 36 hours. The rationale for treatment with doxycycline is unknown and subject to inquiry because S aureus is not sensitive to doxycycline.1 Two weeks after the procedure, the abscess returned, and she was again treated with ultrasound‐guided needle aspiration and a regimen of amoxicillin with clavulanate. The abscess partially resolved, but worsened 6 days later. At that time, A.B. was referred to a breast surgeon who surgically incised and drained this 6‐cm abscess under general anesthesia. She was discharged home the same day with an indwelling Penrose drain. Two days later, the drain was removed and the wound was healing normally. A.B. continued breastfeeding exclusively throughout all of these events and was completely healed by 3 weeks after the incision and drainage. At 5 months postpartum, she had not experienced further breast infections and was continuing to breastfeed her baby.

Recurrent Breast Abscess Caused by Corynebacterium amycolatum and Rewiev of the Literature

Corynebacterium species are an uncommon cause of breast abscess, and Corynebacterium amycolatum is rarely described in the literature. In the present case, we report recurrent breast abscess caused by C. amycolatum in a 39-year-old patient with normal immune function. Pathological diagnosis was granulomatous mastitis. The patient was treated with incision and drainage and ampicillin-sulbactam treatment. To our knowledge, this is the second report of breast abscess caused by C. amycolatum.

Abszedierende Mastitis durch eine Ösophagusfistel

Mastitis originating from a fistula from intramediastinal esophago-jejunostomy following gastrectomy is an extremely rare event. We report on a 79-year old woman who had undergone repeated surgery due to recurrent breast abscesses for more than a year. The patient's history showed gastrectomy and esophago-jejunostomy two years earlier, with subsequent undetected insufficiency of the anastomosis and inflammation of the breast. The reason for the recurrent breast abscesses was found intraoperatively to be due to a fistula which could be followed to the anastomosis. Histologically, vegetable tissue (food particles) was detected in the fistula specimen. Detailed assessment of the patient's history could have helped detecting the circumstances when the first breast abscess appeared. Exact preoperative diagnosis and accurate wound débridement could have revealed the real cause of the recurrent abscess formation much earlier.

Surgical management of recurrent subareolar breast abscesses: Mayo Clinic experience

Background Recurrent subareolar abscess is an uncommon condition of the breast. The disease process often is managed inadequately by repeated courses of antibiotics and/or incision and drainage procedures that temporarily may relieve the abscess collection but fails to correct the primary inciting process. Repeated surgical procedures may lead to multiple scars, nipple and breast distortion without cure of the problem, or even to mastectomy. Methods We report a retrospective review of patients who have been treated surgically with this condition at a single institution from 1993 to 2005. Results Successful definitive treatment of retroareolar abscesses necessitates excision of the central nipple, including the obstructed ducts. Conclusions This technique achieves a cure rate of 91% and an overall 95% satisfaction rate in the cosmetic outcome of the nipple.

Recurrent Breast Abscess Caused by Gordonia bronchialis in an Immunocompetent Patient

We present the first reported case of a recurrent breast infection caused by Gordonia bronchialis. The infection occurred in a 43-year-old immunocompetent female, and species level identification was obtained with 16S rRNA sequencing.

Recurrent mycobacterial breast abscesses complicating reconstruction

We present a patient with mycobacterial infection of the breast and subsequent mastectomy. After initial reconstruction, she developed multiple recurrent abscesses around the flap. This necessitated further debridement and a second reconstruction. This case demonstrates the need to beware mycobacterial infection in patients undergoing breast reconstruction, especially after recurrent ‘sterile’ abscesses.

Chronic recurrent subareolar breast abscess: incidence and treatment

Abstract Background Chronic recurrent subareolar breast abscesses (SBAs) are a distinct entity of non-puerperal breast abscesses. They are located in the retroareolar or periareolar area and occur as a result of obstruction of the lactiferous ducts by squamous metaplasia. Unfamiliarity with this entity often leads to inadequate treatment, and recurrences frequently appear with extended fistulas. For this reason, the incidence of and the treatment for SBAs were analysed retrospectively. Methods In two clinics all patients with non-puerperal breast abscesses were analysed during a 6-year period. Results Some 98 patients were included (in the same period 35 patients were treated for puerperal breast abscesses). In 85 patients a total of 204 SBAs occurred (the largest study known). The remaining 13 patients had other non-puerperal breast abscesses such as cystic breast disease, inflammatory breast carcinoma and fat necrosis. If treatment of the SBA did not include excising the ductus lactiferus, the recurrence rate was 72 per cent. If the ductus lactiferus was excised, the recurrence rate was 37 per cent. Conclusion If a patient presents with a non-puerperal breast abscess in a subareolar location, the first diagnosis to consider should be (chronic recurrent) SBA. Smoking appears to be an important precipitating factor. In a recurrent SBA most frequently anaerobic micro-organisms are cultured. The primary treatment of SBA may comprise only incision and drainage. However, this should be followed by excision of the affected ductus lactiferus, including a part of the mamilla. If the affected ductus is not sufficiently excised, the SBA is destined to become a problematic chronic recurrent abscess.

A new proposal to the histologic findings of the recurrent subareolar breast abscess (RSBA)

International Journal of Gynecology & ObstetricsVolume 70, Issue S3 p. C101-C101 Panel Infections in obstertrics and gynecology A new proposal to the histologic findings of the recurrent subareolar breast abscess (RSBA) L.F. Sampaio Neto, L.F. Sampaio NetoSearch for more papers by this authorR. Hegg, R. HeggSearch for more papers by this authorP.H.N Saldiva, P.H.N SaldivaSearch for more papers by this author L.F. Sampaio Neto, L.F. Sampaio NetoSearch for more papers by this authorR. Hegg, R. HeggSearch for more papers by this authorP.H.N Saldiva, P.H.N SaldivaSearch for more papers by this author First published: 11 December 2003 https://doi.org/10.1016/S0020-7292(00)80665-7AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume70, IssueS32000Pages C101-C101 RelatedInformation

Nonpuerperal Breast Infection

Objective: We undertook a microbiological study of purulent specimens from women with symptomatic breast abscesses. Methods: Fifty-one purulent samples were collected in 2 periods (December 1991–April 1992 and January 1994–June 1994) from nonpuerperal breast abscesses in 44 patients attending our hospital. Results: One of the most frequently isolated microorganisms was Proteus mirabilis (9 patients, 20.4%), present as a pure culture in all but 1 specimen (isolated together with Peptostreptococcus spp.). Staphylococcus aureus was isolated in 10 specimens, 6 of which were post-tumorectomy abscesses. Polymicrobial anaerobic flora were isolated in 11 specimens (21.5%); Staphylococcus epidermidis in 4 (8%); and Streptococcus milleri, Alcaligenes sp., and mixed aerobic-anaerobic flora in 1 specimen each. The 7 remaining samples (13.7%) were negative bacteriological cultures. Conclusions: We draw attention to the frequent isolation of P. mirabilis in recurrent and torpid breast abscesses in 4 women in whom surgery was necessary in addition to antibiotic treatment.