Lee D, Goldstein E J, Zarem H A
Department of Family Practice, Santa Monica Hospital Medical Center, Calif.
Plast Reconstr Surg. 1995 Jan;95(1):142-4. doi: 10.1097/00006534-199501000-00024.
While M. avium-intracellulare has received increasing recognition due to its association with AIDS, silicone breast implants have come under increased FDA scrutiny, requiring new safety and efficacy protocols. We report a case of localized M. avium-intracellulare mastitis associated with a breast implant in an immunocompetent, HIV-negative woman who was cured with implant removal and a long course (6 months) of clarithromycin. Serous exudates occurring in association with breast implants should be cultured for acid-fast organisms. Clarithromycin may be a therapeutic adjunct to effectively cure these infections.
虽然鸟分枝杆菌胞内亚种因其与艾滋病的关联而受到越来越多的关注，但硅胶乳房植入物受到了美国食品药品监督管理局（FDA）越来越严格的审查，需要新的安全性和有效性方案。我们报告了一例免疫功能正常、HIV阴性的女性患者，其乳房植入物相关的局限性鸟分枝杆菌胞内亚种乳腺炎，通过移除植入物和长期（6个月）服用克拉霉素得以治愈。与乳房植入物相关的浆液性渗出物应培养抗酸菌。克拉霉素可能是有效治愈这些感染的辅助治疗药物。
