Mycobacterial infection of breast prosthesis – a conservative treatment: a case report

Abstract

BackgroundBacterial infection is a well-known risk of breast implant surgery. It is typically caused by bacterial skin flora, specifically Staphylococcus aureus and the coagulase negative staphylococci. There have been infrequent reports of breast implant infection caused by the atypical mycobacteria, of which Mycobacterium canariasense not yet reported in the literature.Case presentationThis report summarizes the case of a female patient who underwent mastectomy followed by bilateral breast augmentation and presented approximately three years later with clinical evidence of infected breast prosthesis by Mycobacterium canariasense. One year after thoroughly follow-up, appropriate antibiotherapy and the change of the infected prosthesis, the patient presented no signs of reinfection.ConclusionOur case demonstrates that Mycobacterium canariasense should be considered as a new potential cause of infected breast prosthesis.

Over Troubled Water

“…In the years since then, there have been several further descriptions of mycobacterial infection after breast implantation. [5][6][7][8][9][10][11][12][13] However, to the best of our knowledge, the present report is the first in the plastic surgery literature to describe confirmed cases of human-to-human mycobacterial transfer. This outbreak is also unique in two more respects: the novelty of the pathogen; and the heavy colonization of the surgeon involved.…”

“…4 Occasionally, nontuberculous mycobacteria are involved. [5][6][7][8][9][10][11][12][13] Surgical site infection can have a substantial impact on patients and surgeons, particularly after aesthetic surgery. For patients, the psychological effects are often considerable; for surgeons, these occurrences can be mentally distressing, difficult to resolve, damaging to their reputation, and costly.…”

Breast and Cervix Uteri: Rare Locations for Mycobacterium Tuberculosis Infections and Complications-Cases Report and Literature Review

“…Breast 21-30 years, predominantly, a case being reported during pregnancy [14], and rarely in prepubescent [15] and elderly postmenopausal women [16], the last category being more affected in the early twentieth century, and in the last years it is discovered in women and men [17,18]. None of the recognized risk factors (multiparity, lactation, trauma, past history of suppurative mastitis, breast surgery/breast reconstruction [19,20], silicon breast introduction or AIDS [21] was present in the Romanian reported case.…”

“…In the last years there are described recurrent breast abscess to be more frequent due to nontuberculous mycobacterial infection [20,134], cases with similar clinical presentation, with granulomas.…”

Non-tuberculous mycobacteria profiles and their anti-mycobacterial resistance at a major medical center in Lebanon

“…In Lebanon, a couple of published articles addressed NTM, mostly as case reports [9][10][11][12][13][14] but none has comprehensively revealed the present species nor their antimicrobial resistance (AMR) profiles. Besides, the recovery of NTMs has been increasing, with rates reaching 55 to 67% among isolated mycobacteria, as noted for instance in our medical center over the last five years.…”