STUDY: Breast implant infection with Mycobacterium fortuitum group

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J Infect. 2006 Mar;52(3):e63-7. Epub 2005 Sep 19.Click here to read
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http://www.ncbi.nlm.nih.gov/entrez/q...=pubmed_DocSum
Breast implant infection with Mycobacterium fortuitum group:
report of case and review.

* Vinh DC,
* Rendina A,
* Turner R,
* Embil JM.

Department of Medicine, University of Manitoba, Winnipeg, Man.,
Canada.

There has been a marked increase in the frequency with which
breast prosthesis are being used, both for reconstructive and cosmetic
purposes. Although breast implant-related infections are uncommon,
they are 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. This report summarizes the case of a young
female who underwent augmentation mammoplasty who presented shortly
thereafter with clinical evidence of an infected breast prosthesis.
Despite a protracted course of empiric antibiotic therapy and multiple
surgical interventions, she failed to improve. Additional
microbiologic investigations allowed for a diagnosis of Mycobacterium
fortuitum group breast implant infection to be established. A
prolonged course of anti-mycobacterial therapy, based upon
susceptibility results, allowed for eradication of the infection and
subsequent successful re-implantation of the prosthesis.