Venkatramani V, Pillai S, Marathe S, Rege S A, Hardikar J V
Department of Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai, India.
Ann R Coll Surg Engl. 2009 Jul;91(5):W13-4. doi: 10.1308/147870809X401056.
Breast gangrene has been reported as a complication following puerperal sepsis, breast surgery, nipple piercings, warfarin toxicity, etc. We report a case of primary breast gangrene in an HIV-positive individual which, to the best of our knowledge, is the first of its kind.
A 40-year-old previously healthy woman presented with fulminating left breast gangrene. She was detected to be HIV positive. Mastectomy was performed. The detailed management of the condition is discussed.
Severe necrotising infections may be initial manifestations of HIV infection and patients with such infections should be screened for HIV.
乳房坏疽已被报道为产后败血症、乳房手术、乳头穿孔、华法林中毒等后的并发症。我们报告一例HIV阳性个体的原发性乳房坏疽病例，据我们所知，这是首例此类病例。
一名40岁既往健康的女性出现暴发性左乳房坏疽。检测发现她HIV呈阳性。进行了乳房切除术。讨论了该病情的详细处理方法。
严重的坏死性感染可能是HIV感染的初始表现，对于有此类感染的患者应进行HIV筛查。
