Propionibacterium avidum infection following breast reduction: high morbidity from a low-virulence pathogen

Détails

Ressource 1Télécharger: BIB_6D03C8ACAED1.P001.pdf (263.08 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_6D03C8ACAED1
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Propionibacterium avidum infection following breast reduction: high morbidity from a low-virulence pathogen
Périodique
Journal of Surgical Case Reports
Auteur(s)
di Summa P.G., Yvon A., Larcher L., Raffoul W., Koch N.
ISSN
2042-8812 (Electronic)
ISSN-L
2042-8812
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
2015
Numéro
2
Pages
1-3
Langue
anglais
Notes
Publication types: Case Reports ; case-report Identifiant PubMed Central: PMC4323737
Résumé
Propionibacterium avidum is a common inhabitant of sebaceous glands, traditionally considered to be of low virulence and generally found on implanted foreign material. We report a rare case of P. avidum breast abscess, causing severe morbidity following breast reduction surgery. A 36-year-old woman presented with a non-painful wound discharge 3 weeks postoperatively, and was treated conservatively. She was readmitted 7 weeks postoperatively with a red and tender breast. A purulent discharging abscess was drained under ultrasound guidance. A 2-week intravenous course of amoxicillin-clavulanic acid, followed by oral replacement for a month resulted effective. Serial ultrasound imaging was useful in treatment decision-making. The infective potential of P. avidum may be underappreciated. Proximity of sutures to the axilla, tobacco smoking and the potential for resorbable sutures to host bacteria may predispose to infection, and should raise the clinician's awareness.
Mots-clé
0140
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/07/2016 8:19
Dernière modification de la notice
20/08/2019 14:26
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