1例乳腺癌保乳内镜手术及放疗后哈氏消化链球菌致乳腺脓肿病例报告并文献复习
A case report of breast abscess caused by Peptoniphilus harei after endoscopic breast-conserving surgery and radiotherapy for breast cancer and literature review.
作者信息
He Siqi, Wang Zheng, Liu Xiaoling, Wei Wei, Li Guangxin
机构信息
Department of Breast and Thyroid Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province, China.
出版信息
BMC Womens Health. 2025 Sep 1;25(1):419. doi: 10.1186/s12905-025-03915-9.
BACKGROUND
Breast abscess is a common infectious disease of the breast, but breast abscess caused solely by Peptoniphilus harei is extremely rare. Endoscopic breast-conserving surgery for breast cancer is an emerging breast surgical technique that is considered a clean procedure with a low postoperative infection rate.
CASE PRESENTATION
We report a case of a patient who underwent endoscopic breast-conserving surgery for breast cancer and developed a breast abscess in the surgical area after radiotherapy. Bacterial culture and identification confirmed that the abscess was caused by Peptoniphilus harei infection. After treatment with antibiotics targeting Peptoniphilus harei and active wound debridement, the patient achieved complete recovery.
CONCLUSIONS
This is the first reported case of breast abscess caused solely by Peptoniphilus harei after endoscopic breast-conserving surgery and radiotherapy for breast cancer. Early identification of the pathogen and targeted treatment are essential for successful management.
背景
乳腺脓肿是一种常见的乳腺感染性疾病，但仅由哈氏消化链球菌引起的乳腺脓肿极为罕见。内镜下乳腺癌保乳手术是一种新兴的乳腺外科技术，被认为是一种清洁手术，术后感染率低。
病例报告
我们报告一例患者，该患者接受了内镜下乳腺癌保乳手术，放疗后手术区域出现乳腺脓肿。细菌培养和鉴定证实脓肿是由哈氏消化链球菌感染引起的。使用针对哈氏消化链球菌的抗生素治疗并积极进行伤口清创后，患者完全康复。
结论
这是首例报道的在内镜下乳腺癌保乳手术及放疗后仅由哈氏消化链球菌引起乳腺脓肿的病例。早期识别病原体并进行针对性治疗是成功治疗的关键。
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