Primary Necrotising Fasciitis of the Breast: Case Report and Brief Review of Literature

Yaji, Prabhat; Bhat, Bharath Kumar

doi:10.7860/jcdr/2014/9281.4558

Cited by 15 publications

(22 citation statements)

References 4 publications

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“…The first case of NF of the breast was described by Shah in 2001 , and only 11 cases of PNFB (i.e. with no previous trauma or intervention) have been reported in the literature so far (Table ); among these, only 5 cases without any associated comorbidity are reported . The current case is the first described Italian case of PNFB in otherwise healthy patients, the second in Europe and the sixth reported in the English literature (Table ).…”

Section: Discussionmentioning

confidence: 72%

“…It is even more unusual as a primary disease of the breast, with no previous invasive procedure or other comorbid conditions. To the best of our knowledge, only 11 cases of spontaneous necrotising infection of the breast have been reported in the literature , and 5 of these were otherwise healthy women . Mastectomy is reported to be the main treatment in the published literature.…”

Section: Introductionmentioning

confidence: 99%

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A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

Marongiu

Buggi

Mingozzi

et al. 2016

International Wound Journal

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Necrotising fasciitis is a rare but potentially fatal disease. It is even more unusual as a primary disease of the breast. Surgical treatment is required in order to gain control over the spreading infection and mastectomy is reported to be the most common procedure. We report the first case of an otherwise healthy woman exhibiting a primary necrotising fasciitis of the breast, which was treated combining conservative surgery with hyperbaric oxygen (HO) and negative pressure wound therapy (NPWT). A 39-year-old woman presented to the emergency room with fever and swelling of her right breast. The physical examination showed oedema and erythema of the breast, with bluish blisters on the lower quadrant. Ultrasound and CT scans showed diffuse oedema of the entire right breast, with subdermal gas bubbles extending to the fascial planes. Few hours later the necrotic area extended regardless an IV antibiotic therapy; a selective debridement of all breast necrotic tissue was performed and repeated 7 days later. The HO was started immediately after the first surgery and repeated daily (2·8 Bar, 120 min) for 18 days and then a NPWT (120-135 mmHg) was applied. Forty-five days after the last debridement, the breast wound was covered with a full-thickness skin graft. Several months later, an excellent cosmetic result was observed. This is the first case of primary necrotising fasciitis of the breast treated associating HO and NPWT to surgical debridement only; this combination resulted in a complete recovery with the additional benefit of breast conservation. Such result is discussed in light of the available literature on the treatment of primary necrotising fasciitis of the breast.

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

Marongiu

Buggi

Mingozzi

et al. 2016

International Wound Journal

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“…Although surgical treatment with mastectomy adopted in this case has been performed in other cases 4,7,9,11,13 , there have been reports of successful treatment with conservative surgery 3,8,12,14,15 and even without surgery 10 . Lee et al 10 reported a case of NF of the breast in a pregnant woman successfully treated using negative-pressure wound therapy.…”

Section: Discussionmentioning

confidence: 96%

“…Only a few cases of necrotizing fasciitis in the breast [3][4][5][7][8][9][10][11][12][13][14][15] have been reported in the literature; and due to the high mortality rate, early recognition and surgical debridement are of absolute importance. Emergency surgical debridement of the affected tissues is the primary management modality for NF.…”

Section: Discussionmentioning

confidence: 99%

Rare postpartum primary necrotizing fasciitis of the breast following mastectomy: case report

Britto¹,

Brasilino²,

Souza³

et al. 2018

Mastology

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“…Necrotizing fasciitis was first described by Hippocrates in the fifth century and later defined by Wilson in 1952 as an infective process resulting in necrosis of the fascia and subcutaneous tissue with sparing of the muscle [1][2][3]. It is a rapidly progressing, potentially fatal bacterial infection that spreads along fascial planes [4].…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Fasciitis of the Breast: A Case Report and Literature Review

Fadaee¹,

Ong²,

Al-Askari³

2019

J Med Cases

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A 51-year-old woman presented to our facility with an open wound in the left breast. This was associated with a hard, non-mobile, tender lesion palpable underneath. The wound contained central necrosis with surrounding purulent discharge and accompanying erythema. Following radical debridement of the breast down to the pectoralis fascia the patient had a vacuum-assisted closure (VAC) device dressing applied. Histological examination was consistent with necrotizing fasciitis of the breast.

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Primary Necrotising Fasciitis of the Breast: Case Report and Brief Review of Literature

Cited by 15 publications

References 4 publications

A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

Rare postpartum primary necrotizing fasciitis of the breast following mastectomy: case report

Necrotizing Fasciitis of the Breast: A Case Report and Literature Review

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