Oucharqui S, Adil H, Benaissa E, Bssaibis F, En-Nafaa I, Maleb A, El Fenni J, Elouennass M
Department of Bacteriology, Mohammed V Military Teaching Hospital / Faculty of Medicine and Pharmacy (University Mohammed V), Rabat, Morocco.
Department of radiology, Mohammed V Military Teaching Hospital/Faculty of Medicine and Pharmacy (University Mohammed V), Rabat, Morocco.
IDCases. 2021 Nov 17;26:e01341. doi: 10.1016/j.idcr.2021.e01341. eCollection 2021.
Breast tuberculosis is a rare entity even in endemic countries. It is often considered as a diagnostic conundrum given the non-specific clinical and imaging characteristics. Therefore, the definitive diagnosis is based on the identification of bacilli by microbiological or histopathological examination. We report the case of a 52-year-old woman, with a 2-month history of a painful lump of the left breast. The imaging features were consistent with a breast abscess. The purulent collection was aspirated and a tuberculous mammary abscess was diagnosed by molecular biology (GeneXpert). Through this observation, we discuss the clinical, radiological and biological signs by highlighting the contribution of molecular biology in the rapid management of this rare pathology.
即使在结核病流行国家,乳腺结核也是一种罕见疾病。鉴于其非特异性的临床和影像学特征,它常被视为一个诊断难题。因此,明确诊断基于通过微生物学或组织病理学检查鉴定出杆菌。我们报告一例52岁女性病例,其左乳出现疼痛性肿块已有2个月。影像学特征与乳腺脓肿相符。对脓性分泌物进行了抽吸,并通过分子生物学(GeneXpert)诊断为结核性乳腺脓肿。通过该病例,我们通过强调分子生物学在这种罕见疾病快速诊治中的作用,对其临床、放射学和生物学体征进行了讨论。