Persistent Multispecies Actinomyces Mastitis Treated With Repeated Aspiration and Long-Term Oral Antibiotics.

The American Surgeon
Colin JenkinsKazuhide Matsushima

Abstract

Actinomycosis is an infection characterized by abscess formation, draining sinuses, and tissue fibrosis. The causative bacterium is a Gram-positive facultative anaerobe from the genus Actinomyces. Infections classically affect the cervicofacial, thoracic, or pelvic region and often require prolonged antibiotic therapy. Actinomycosis of the breast is a rare condition that may present as a recurrent breast abscess. We present a 33-year-old female with a recurrent breast abscess which grew A. radingae and A. israeli on aspirated fluid cultures. Treatment with surgical aspiration and a 6-week course of oral amoxicillin/clavulanic acid 875 mg twice daily resulted in clinical improvement. Our case demonstrates how recurrent breast abscesses caused by Actinomyces can be difficult to manage. Long-term antibiotic therapy with surgical aspiration and regular follow-up offer the best chance of clinical resolution.

References

Jun 24, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R A Smego, G Foglia
Jun 14, 2017·Seminars in Roentgenology·Monica D AgarwalPriscilla J Slanetz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Actinomycosis

Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family (genus Actinomyces). The disease is characterised by the formation of painful abscesses in the mouth, lungs,breast or gastrointestinal tract. Discover the latest research on actinomycosis here.

Related Papers

Journal of Clinical Microbiology
A U BingK O Helgason
Oral Surgery, Oral Medicine, and Oral Pathology
G C HUNTER, C M WESTRICK
Enfermedades infecciosas y microbiología clínica
Sonia Junquera-Bañares, Hortensia Sanz-de La Fuente
© 2021 Meta ULC. All rights reserved