Abscess in Primary Tuberculosis of Breast: Case Report

Abstract

Purpose: To highlight the diagnostic challenges of breast tuberculosis. Mammary tuberculosis is a rare disease. Its clinical and radiological characteristics are similar to other breast diseases in young women, such as granulomatous mastitis and breast carcinoma. Materials and Methods: We report a case of primary tuberculosis of a 34 years old woman who presented bilateral abscess with refractory secretion of blood and pus drainage to previous treatment with conventional antibiotic therapy of granulomatous mastitis. Results: A tuberculous mammary was observed and confirmed in the case. The diagnosis was based on imaging tests and complementary tests. Anti-tuberculosis treatment was prescribed during 6 months, and the evolution was favorable for one patient. Conclusion: Tuberculosis continued to present diagnostic difficulties, particularly in its breast tuberculosis form.

A Case Report of a Misleading Mammary Tuberculosis in a Young Patient

“…The diffuse form is characterized by multiple drainage foci, with an important inflammatory process and axillary involvement. The less common sclerosing form occurs in elderly women and presents a higher degree of fibrosis, with nipple retraction and suppuration [6].…”