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
- Mycobacterium tuberculosis
- Pyogenic abscess
- Breast abscess
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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 email@example.com
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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