- Mycobacterium tuberculosis
- Pyogenic abscess
- Breast abscess
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.
Copyright © 2009 S. Karger AG, Basel
- Tewari M, Shukla HS: Breast tuberculosis: diagnosis, clinical features and management. Indian J Med Res 2005;122:103–110.
- Hale JA, Peters GN, Cheek JH: Tuberculosis of the breast: rare but still extant. Review of the literature and report of an additional case. Am J Surg 1985;150:620–624.
- Khanna R, Prasanna GV, Gupta P, Kumar M, Khanna S, Khanna AK: Mammary tuberculosis: report on 52 cases. Postgrad Med J 2002;78:422–424.
- Ozol D, Bozer M, Bayrak R: Breast tuberculosis. Saudi Med J 2006;27:1066–1068.
- Akcay MN, Saglam L, Polat P, Erdogan F, Albayrak Y, Povoski SP: Mammary tuberculosis – importance of recognition and differentiation from that of a breast malignancy: report of three cases and review of the literature. World J Surg Oncol 2007;5:67.
- Al-Marri MR, Almosleh A, Almoslmani Y: Primary tuberculosis of the breast in Qatar: ten year experience and review of the literature. Eur J Surg 2000;166:687–690.
- Harris SH, Khan MA, Khan R, Haque F, Syed A, Ansari MM: Mammary tuberculosis: analysis of thirty-eight patients. ANZ J Surg 2006;76:234–237.
- Gupta V, Mohan H, Jain P, Surinder S, Singla N: Tuberculous mastitis: a report of two cases in elderly females. Jpn J Infec Dis 2006;59:279–280.
- Indumathi CK, Alladi A, Dinakar C, Rout PL: Tuberculosis of the breast in an adolescent girl: a rare presentation. J Trop Pediatr 2006;53:133–134.
- Bani-Hani KE, Yaghan RJ, Matalka II, Mazahreh TS: Tuberculous mastitis: a disease not to be forgotten. Int J Tuberc Lung Dis 2005;9:920–925.
- Verfaillie G, Goossens A, Lamote J: Atypical mycobacterium breast infection. Breast J 2004;10:60.
- Winzer KJ, Menenakos J, Braumann C, Mueller JM: Breast mass due to pectoral muscle tuberculosis mimicking breast cancer in male patients. Int J Infect Dis 2005;9:176–177.
- Da Silva BB, Dos Santos LG, Costa PVL, Pires CG, Borges AS: Clinical case report: primary tuberculosis of the breast mimicking carcinoma. Am J Trop Med Hyg 2005;73:975–976.
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 firstname.lastname@example.org
Received: November 21, 2007
Revised: April 27, 2008
Published online: April 06, 2009
Number of Print Pages : 3
Number of Figures : 0, Number of Tables : 1, Number of References : 13
Medical Principles and Practice (International Journal of the Kuwait University Health Sciences Centre)
Vol. 18, No. 3, Year 2009 (Cover Date: April 2009)
Journal Editor: Owunwanne A. (Kuwait)
ISSN: 1011-7571 (Print), eISSN: 1423-0151 (Online)
For additional information: http://www.karger.com/MPP
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