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乳腺脓肿的一种罕见病因:伴有……

An uncommon cause for a breast abscess: with .

作者信息

Le Bihan Audrey, Ahmed Farid, O'Driscoll Jean

机构信息

General Surgery, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK

Breast Surgery, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.

出版信息

BMJ Case Rep. 2019 Dec 2;12(12):e231194. doi: 10.1136/bcr-2019-231194.

DOI:10.1136/bcr-2019-231194
PMID:31796455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7001687/
Abstract

Our case report describes a patient with a common presenting complaint yet an uncommon infection. Our patient presented with a fluctuant breast mass diagnosed as a breast abscess. An aspirate sample was sent for culture and sensitivities, which revealed the presence of and the anaerobe She was therefore prescribed several weeks of amoxicillin and metronidazole, and made a full recovery. There are only three case reports describing as a causative organism for breast abscess, one of which had also occurred in our department. One case also showed the additional presence of Our findings reveal a growing need for increasing clinician awareness of and the importance of aspirate sample culture and sensitivity.

摘要

我们的病例报告描述了一位有常见主诉但感染情况不常见的患者。我们的患者表现为波动性乳房肿块,诊断为乳房脓肿。抽取的样本送去做培养和药敏试验,结果显示存在[某种细菌名称1]和厌氧菌[某种细菌名称2]。因此给她开了几周的阿莫西林和甲硝唑,她完全康复了。仅有三篇病例报告描述了[某种细菌名称1]作为乳房脓肿的致病微生物,其中一篇也发生在我们科室。另一例还显示存在[某种细菌名称3]。我们的研究结果表明,临床医生越来越需要提高对[某种细菌名称1]的认识以及抽取样本培养和药敏试验的重要性。

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本文引用的文献

1
Breast Infection: A Review of Diagnosis and Management Practices.乳腺感染:诊断与管理实践综述
Eur J Breast Health. 2018 Jul 1;14(3):136-143. doi: 10.5152/ejbh.2018.3871. eCollection 2018 Jul.
2
Breast abscess due to Actinomyces turicensis in a non-puerperal woman.非产褥期女性由土生放线菌引起的乳腺脓肿。
Enferm Infecc Microbiol Clin (Engl Ed). 2018 Jun-Jul;36(6):388-389. doi: 10.1016/j.eimc.2017.09.014. Epub 2017 Nov 11.
3
Clinical features of actinomycosis: A retrospective, multicenter study of 28 cases of miscellaneous presentations.放线菌病的临床特征:一项对28例不同表现病例的回顾性多中心研究。
Medicine (Baltimore). 2016 Jun;95(24):e3923. doi: 10.1097/MD.0000000000003923.
4
Resistance patterns in clinical isolates of pathogenic Actinomyces species.致病性放线菌临床分离株的耐药模式。
J Antimicrob Chemother. 2016 Feb;71(2):422-7. doi: 10.1093/jac/dkv347. Epub 2015 Nov 3.
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Actinomyces Species Isolated from Breast Infections.从乳腺感染中分离出的放线菌属菌种。
J Clin Microbiol. 2015 Oct;53(10):3247-55. doi: 10.1128/JCM.01030-15. Epub 2015 Jul 29.
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Actinomyces and related organisms in human infections.放线菌及相关微生物在人类感染中的情况。
Clin Microbiol Rev. 2015 Apr;28(2):419-42. doi: 10.1128/CMR.00100-14.
7
Primary actinomycosis of the breast caused by Actinomyces turicensis with associated Peptoniphilus harei.由图里西放线菌引起的乳腺原发性放线菌病,并伴有哈氏消化球菌。
Breast Dis. 2015;35(1):45-7. doi: 10.3233/BD-140381.
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Rare species of actinomyces as causative pathogens in breast abscess.罕见放线菌属物种作为乳腺脓肿的致病病原体
Breast J. 2007 Sep-Oct;13(5):501-5. doi: 10.1111/j.1524-4741.2007.00472.x.
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Genotypic diversity of clinical Actinomyces species: phenotype, source, and disease correlation among genospecies.临床放线菌物种的基因型多样性:基因种间的表型、来源及疾病相关性
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Imaging of primary actinomycosis of the breast.
AJR Am J Roentgenol. 2000 Jun;174(6):1784-6. doi: 10.2214/ajr.174.6.1741784.