Singapore General Hospital, Singapore, Singapore.
National Cancer Centre, Singapore, Singapore.
Breast J. 2019 Nov;25(6):1263-1265. doi: 10.1111/tbj.13453. Epub 2019 Jul 8.
We present a rare case of a rapidly fulminant and destructive breast abscess with gas production by the synergistic infection of Veillonella and Streptococcus species. To our knowledge, this is the first reported case of Veillonella infection in the breast. Early recognition, empiric antibiotic cover, aggressive surgical debridement, and drainage are necessary to avoid systemic septicemia. Staged reconstructive breast surgery allows for correction any resultant breast deformity.
我们报告了一例罕见的由韦荣氏球菌和链球菌协同感染引起的迅速暴发性和破坏性乳腺脓肿，且产气量高。据我们所知，这是首例报道的乳腺韦荣氏球菌感染病例。早期识别、经验性抗生素覆盖、积极的外科清创和引流对于避免全身败血症是必要的。分期重建性乳房手术可纠正任何由此产生的乳房畸形。
