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乳房假体分枝杆菌感染的保守治疗:1 例报告。

Mycobacterial infection of breast prosthesis--a conservative treatment: a case report.

机构信息

Department of Gynecology and Obstetrics, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon.

出版信息

BMC Infect Dis. 2014 May 5;14:238. doi: 10.1186/1471-2334-14-238.

Abstract

BACKGROUND

Bacterial infection is a well-known risk of breast implant surgery. It is typically caused by bacterial skin flora, specifically Staphylococcus aureus and the coagulase negative staphylococci. There have been infrequent reports of breast implant infection caused by the atypical mycobacteria, of which Mycobacterium canariasense not yet reported in the literature.

CASE PRESENTATION

This report summarizes the case of a female patient who underwent mastectomy followed by bilateral breast augmentation and presented approximately three years later with clinical evidence of infected breast prosthesis by Mycobacterium canariasense. One year after thoroughly follow-up, appropriate antibiotherapy and the change of the infected prosthesis, the patient presented no signs of reinfection.

CONCLUSION

Our case demonstrates that Mycobacterium canariasense should be considered as a new potential cause of infected breast prosthesis.

摘要

背景

细菌感染是乳房植入手术的已知风险。它通常由细菌皮肤菌群引起,特别是金黄色葡萄球菌和凝固酶阴性葡萄球菌。有罕见报道称,非典型分枝杆菌也会引起乳房植入物感染,其中,分枝杆菌中的堪萨斯分枝杆菌尚未在文献中报道。

病例介绍

本报告总结了一名女性患者的病例,她接受了乳房切除术,随后进行了双侧乳房隆乳术,大约三年后出现了堪萨斯分枝杆菌感染乳房假体的临床证据。在彻底随访一年后,进行了适当的抗生素治疗和感染假体的更换,患者未出现再感染的迹象。

结论

我们的病例表明,堪萨斯分枝杆菌应被视为感染性乳房假体的一种新的潜在病因。

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