Silicone Mastitis in "Topless" Waitresses and Some Other Varieties of Foreign-body Mastitis

Systemic zygomycosis

“…Examples have been described at the site of repeated injections (Symmers, 1968), in needle biopsy tracts (Gartenberg et al, 1978;Dennis et al, 1980), adjacent to colostomies (Wilson et al, 1976) or in surgical incisions (Gartenberg et al, 1978). Other examples have complicated accidental peripheral trauma (Boyce et al, 1981;Potvliege et al, 1983) and diabetic leg ulcers (Tomford et al, 1980).…”

“…Other examples have complicated accidental peripheral trauma (Boyce et al, 1981;Potvliege et al, 1983) and diabetic leg ulcers (Tomford et al, 1980). Some of these infections have been indolent, with a well-defined granulomatous response (Symmers, 1968), whereas others have caused extensive local tissue destruction (Wilson et al, 1976;Tomford et al, 1980).…”

“…A number of cases have followed the use of contaminated dressings (Gartenberg et al, 1978;Bottone et al, 1979;Dennis et al, 1980), and may be associated with the sites of injection (Symmers, 1968), needle biopsy (Gartenberg et al, 1978;Dennis et al, 1980) or cannula insertion (Fisher et al, 1980). A few cases of the rhinocerebral form appear to have been precipitated by dental extraction (Eilderton, 1974;Ristow et al, 1979), though it is difficult to be sure that facial pain caused by pre-existing zygomycosis was not misinterpreted.…”

“…In some cases, this is related to the species involved, but chronicity may follow infection with a type which is usually aggressive (Symmers, 1968;Leong, 1978). An early, apparently spontaneous, 'cure' (Hoagland et al, 1961) was followed by fatal recrudescence some years later (Ferstenfeld et al, 1977).…”

Zygomycetes in Human Disease

“…include an additional case of peritonitis (56), an inguinal abscess (501), bone involvement (461), renal involvement (405,410), and a case of rapidly progressive genitourinary disease originating from a traumatic lesion of the penis (506). One case of Rhizopus mastitis associated with silicone breast implants has also been described (452).…”