Wright P K, Raine C, Ragbir M, Macfarlane S, O'donoghue J
Department of General Surgery, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
J Plast Reconstr Aesthet Surg. 2006;59(10):1118-21. doi: 10.1016/j.bjps.2006.01.020. Epub 2006 Apr 17.
Fungal infection of breast implants is a rare complication. Growth of fungi within the lumen of saline-filled implants has previously been demonstrated in laboratory studies, however, clinical infections are rare. We report a case of Aspergillus flavus growth within and around a saline-filled breast implant that was inserted 18 months previously. This was successfully treated with implant removal and wound irrigation. Possible routes of microbial contamination as well as survival mechanisms of organisms within saline-filled implants are discussed. This case re-iterates that the silicone envelope of a saline-filled implant is selectively permeable and we believe this is instrumental in facilitating intraluminal microbial growth. This also emphasises the importance of stringent asepsis when dealing with saline-filled breast implants including avoiding contamination of the saline filling fluid.
乳房植入物真菌感染是一种罕见的并发症。此前在实验室研究中已证实真菌可在盐水填充式植入物的腔内生长，然而临床感染却很罕见。我们报告一例在18个月前植入的盐水填充式乳房植入物内部及周围出现黄曲霉生长的病例。通过移除植入物和冲洗伤口成功治愈了该病例。文中讨论了微生物污染的可能途径以及盐水填充式植入物内生物体的存活机制。该病例再次强调，盐水填充式植入物的硅胶包膜具有选择性渗透性，我们认为这有助于腔内微生物的生长。这也凸显了在处理盐水填充式乳房植入物时严格无菌操作的重要性，包括避免盐水填充液受到污染。
