偶然分枝杆菌所致慢性乳腺脓肿：一例报告
Chronic breast abscess due to Mycobacterium fortuitum: a case report.
作者信息
Betal Dibendu, Macneill Fiona A
机构信息
Academic Surgery (Breast Unit), Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
出版信息
J Med Case Rep. 2011 May 18;5:188. doi: 10.1186/1752-1947-5-188.
Abstract
INTRODUCTION
Mycobacterium fortuitum is a rapidly growing group of nontuberculous mycobacteria more common in patients with genetic or acquired causes of immune deficiency. There have been few published reports of Mycobacterium fortuitum associated with breast infections mainly associated with breast implant and reconstructive surgery.
CASE PRESENTATION
We report a case of a 51-year-old Caucasian woman who presented to our one-stop breast clinic with a two-week history of left breast swelling and tenderness. Following triple assessment and subsequent incision and drainage of a breast abscess, the patient was diagnosed with Mycobacterium fortuitum and treated with antibiotic therapy and surgical debridement.
CONCLUSION
This is a rare case of a spontaneous breast abscess secondary to Mycobacterium fortuitum infection. Recommended treatment is long-term antibacterial therapy and surgical debridement for extensive infection or when implants are involved.
摘要
引言
偶然分枝杆菌是快速生长的非结核分枝杆菌菌群，在因遗传或后天因素导致免疫缺陷的患者中更为常见。关于偶然分枝杆菌与乳房感染相关的报道较少，主要与乳房植入物和重建手术有关。
病例介绍
我们报告一例51岁的白人女性病例，该患者因左乳房肿胀和压痛两周前来我们的一站式乳房诊所就诊。经过三重评估及随后对乳房脓肿进行切开引流后，患者被诊断为偶然分枝杆菌感染，并接受了抗生素治疗和手术清创。
结论
这是一例罕见的因偶然分枝杆菌感染继发的自发性乳房脓肿病例。推荐的治疗方法是长期抗菌治疗，对于广泛感染或涉及植入物的情况进行手术清创。
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