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Table of Contents
Vol. 18, No. 3, 2009
Issue release date: April 2009
Section title: Case Report

Open Access Gateway

Med Princ Pract 2009;18:245–247

Mycobacterium Tuberculosis Breast Infection Mimicking Pyogenic Abscesses in Kuwait

Al-Roomi E.a · Jamal W.a · Al-Mosawi A.b · Rotimi V.O.a, c
aDepartment of Microbiology, Clinical Laboratory Services, bDepartment of Surgery, Mubarak Hospital, and cDepartment of Microbiology, Faculty of Medicine, Kuwait University, Kuwait
email Corresponding Author

Prof. Vincent O. Rotimi, MD, PhD

Department of Microbiology

Faculty of Medicine, Kuwait University

PO Box 24923, Safat 13110 (Kuwait)

Tel. +965 498 6509, E-Mail vincent@hsc.edu.kw

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Objective: To present 2 cases of primary breast abscesses caused by Mycobacterium tuberculosis mimicking pyogenic abscesses in healthy young females. Clinical Presentation and Intervention: Two young non-lactating Indonesian and Indian women, aged 27 and 29 years old, respectively, presented with breast abscesses caused by M.tuberculosis. The breasts presented as huge, swollen, hot, tender masses with a discharge at the subareolar site. Surgical drainage revealed deep abscess with copious amount of pus, samples of which were positive for acid-fast bacilli (AFB) and later confirmed as M.tuberculosis by positive cultures in Becton Dickinson BBL Migit and BACTEC 12B media. The initial therapies with clindamycin were changed to 4 anti-tuberculous drugs as soon as the smears showed the presence of AFB. The patients were discharged a week later, but both were lost to follow-up. Conclusion: Mammary tuberculosis should be considered in the differential diagnosis of breast lesion, especially in patients from endemic areas.

© 2009 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: November 21, 2007
Published online: April 06, 2009
Issue release date: April 2009

Number of Print Pages: 3
Number of Figures: 0
Number of Tables: 1

ISSN: 1011-7571 (Print)
eISSN: 1423-0151 (Online)

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