Liu Zhihan, Wei Zhihao, Ye Shuying, Su Shicheng, Lu Yiwen
Breast Tumor Center, Sun Yat-Sen Memorial Hospital Sun Yat-Sen University Guangzhou China.
Clin Case Rep. 2024 Sep 5;12(9):e9381. doi: 10.1002/ccr3.9381. eCollection 2024 Sep.
Abscess at a previous surgical site induced by an insect bite has rarely been reported. Here we report a case of abscess at the breast surgical site, which occurred 7 years after mastectomy following an ant bite.
Surgical site abscess generally occurs following operation within 30 days. However, surgical site abscess induced by an insect bite, which occurs several years after surgery, has rarely been reported. Here, we report a 65-year-old female patient with a history of breast cancer presenting with an abscess at the site of her mastectomy and ipsilateral arm lymphedema. Her left foot was bitten by an ant 25 days earlier and itchy red bumps with whiteheads were raised. After antibiotic treatment and abscess incision and drainage, the abscess healed, but the ipsilateral arm lymphedema persisted. This unique case demonstrates that surgical procedures can alter the susceptibility of tissues to allergic or infectious cues long after the operation.
昆虫叮咬导致既往手术部位出现脓肿的情况鲜有报道。在此，我们报告一例乳房手术部位脓肿病例，该脓肿发生于乳房切除术后7年，由蚂蚁叮咬所致。
手术部位脓肿通常在术后30天内发生。然而，昆虫叮咬引起的手术部位脓肿，在手术后数年发生的情况鲜有报道。在此，我们报告一名65岁有乳腺癌病史的女性患者，其乳房切除部位出现脓肿，同侧手臂出现淋巴水肿。25天前她的左脚被蚂蚁叮咬，出现伴有白头的瘙痒红色丘疹。经抗生素治疗及脓肿切开引流后，脓肿愈合，但同侧手臂淋巴水肿持续存在。这一独特病例表明，手术操作可在术后很长时间改变组织对过敏或感染因素的易感性。
