Persistent Multispecies Actinomyces Mastitis Treated With Repeated Aspiration and Long-Term Oral Antibiotics
| Autor: | Colin Jenkins, Anand Ganapathy, Kazuhide Matsushima, Crystal Fancher |
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| Rok vydání: | 2021 |
| Předmět: |
Genus Actinomyces
biology medicine.drug_class business.industry Antibiotics General Medicine medicine.disease biology.organism_classification 030218 nuclear medicine & medical imaging Microbiology Mastitis 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Tissue fibrosis medicine Actinomycosis Abscess business Bacteria Actinomyces |
| Zdroj: | The American Surgeon. :000313482110257 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/00031348211025748 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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