Prototheca wickerhamii breast implant infection after reconstructive surgery: a new level of complexity

Abstract

We report the first published case of Prototheca wickerhamii breast implant infection. This occurred after mastectomy, chemotherapy, radiotherapy, breast reconstruction, implant revisions and breast seroma aspirations and was preceded by polymicrobial infection. Definitive treatment required implant removal and intravenous liposomal amphotericin B. The management of breast prosthesis infections is discussed.

Cutaneous protothecosis in a solid organ transplanted patient

“…Amphotericin B is currently the first-line treatment in disseminated cases and in patients with severe underlying diseases or immunosuppression. 6 , 7 , 8 , 9 …”

“…The initiation of adequate treatment prevents the progression of the disease. 5 , 6 , 7 , 8 , 9 , 10 …”