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Breast Tuberculosis: A Case Report
Breast tuberculosis (BTB) is a rare manifestation of tuberculosis (TB), and it is more common in countries with a high incidence of TB. We describe a case of a 36-year-old Angolan woman, who had a history of breast reduction surgery, presenting with right breast enlargement, pain, purulent discharge...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9950848/ https://www.ncbi.nlm.nih.gov/pubmed/36843718 http://dx.doi.org/10.7759/cureus.34175 |
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author | Pimentel Nunes, Margarida Branco Carvalho, Inês Araújo, Isabel Almeida, Raquel Araújo, José |
author_facet | Pimentel Nunes, Margarida Branco Carvalho, Inês Araújo, Isabel Almeida, Raquel Araújo, José |
author_sort | Pimentel Nunes, Margarida |
collection | PubMed |
description | Breast tuberculosis (BTB) is a rare manifestation of tuberculosis (TB), and it is more common in countries with a high incidence of TB. We describe a case of a 36-year-old Angolan woman, who had a history of breast reduction surgery, presenting with right breast enlargement, pain, purulent discharge through multiple skin openings, fever, and abdominal pain, progressively worsening in the past year. She had already undergone several surgical drainages and six months of treatment with ciprofloxacin, with no improvement. Breast ultrasound and MRI were performed, which revealed a large fluid collection, with several small abscesses and surrounding adenopathies, complicated by multiple fistulae. The fluid was drained through needle aspiration, which was found to be sterile for bacteria, mycobacteria, and fungi. A lymph node biopsy showed necrosis without granulomas, and the biopsy culture was positive for Mycobacterium tuberculosis (Mt). This case shows how a rare manifestation can simulate bacterial breast abscesses or cancer, and hence a high index of suspicion is necessary to reach the correct diagnosis and ensure appropriate treatment delivery in these patients. |
format | Online Article Text |
id | pubmed-9950848 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-99508482023-02-25 Breast Tuberculosis: A Case Report Pimentel Nunes, Margarida Branco Carvalho, Inês Araújo, Isabel Almeida, Raquel Araújo, José Cureus Internal Medicine Breast tuberculosis (BTB) is a rare manifestation of tuberculosis (TB), and it is more common in countries with a high incidence of TB. We describe a case of a 36-year-old Angolan woman, who had a history of breast reduction surgery, presenting with right breast enlargement, pain, purulent discharge through multiple skin openings, fever, and abdominal pain, progressively worsening in the past year. She had already undergone several surgical drainages and six months of treatment with ciprofloxacin, with no improvement. Breast ultrasound and MRI were performed, which revealed a large fluid collection, with several small abscesses and surrounding adenopathies, complicated by multiple fistulae. The fluid was drained through needle aspiration, which was found to be sterile for bacteria, mycobacteria, and fungi. A lymph node biopsy showed necrosis without granulomas, and the biopsy culture was positive for Mycobacterium tuberculosis (Mt). This case shows how a rare manifestation can simulate bacterial breast abscesses or cancer, and hence a high index of suspicion is necessary to reach the correct diagnosis and ensure appropriate treatment delivery in these patients. Cureus 2023-01-25 /pmc/articles/PMC9950848/ /pubmed/36843718 http://dx.doi.org/10.7759/cureus.34175 Text en Copyright © 2023, Pimentel Nunes et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Pimentel Nunes, Margarida Branco Carvalho, Inês Araújo, Isabel Almeida, Raquel Araújo, José Breast Tuberculosis: A Case Report |
title | Breast Tuberculosis: A Case Report |
title_full | Breast Tuberculosis: A Case Report |
title_fullStr | Breast Tuberculosis: A Case Report |
title_full_unstemmed | Breast Tuberculosis: A Case Report |
title_short | Breast Tuberculosis: A Case Report |
title_sort | breast tuberculosis: a case report |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9950848/ https://www.ncbi.nlm.nih.gov/pubmed/36843718 http://dx.doi.org/10.7759/cureus.34175 |
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