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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Dale, Adam P. Saleem, Tausif Dedicoat, Martin J. Moran, Ed |
| Description | Author Affiliation: Dale AP ( Department of Medical Microbiology, Basingstoke and North Hampshire Hospitals, Basingstoke, UK.); Dedicoat MJ ( Department of Infectious Diseases and Tropical Medicine, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK.); Saleem T ( Department of Histopathology, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK.); Moran E ( Department of Infectious Diseases and Tropical Medicine, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK.) |
| Abstract | We describe the case of a 46-year-old female patient treated for disseminated tuberculosis (TB) infection involving the lungs, urinary tract and skin. Following initiation of antituberculous therapy, the patient's right breast implant eroded through the overlying skin and was seen to be herniating through the resulting defect. The breast implant was removed under local anaesthetic and histological analysis of the resected tissue demonstrated granuloma formation consistent with periprosthetic TB. Wound healing following implant removal was poor and future breast augmentation surgery was only considered following completion of 12â months anti-TB treatment. This case constitutes the first report in the literature of percutaneous breast implant herniation resulting from periprosthetic infection with TB. A high index of suspicion is required to ensure early detection and timely management of TB and, in cases where periprosthetic pus aspirate is sterile, mycobacterial infection must be actively excluded. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Breast Implants Adverse Effects Breast Hernia Etiology Mammaplasty Mycobacterium Tuberculosis Tuberculosis, Miliary Complications Antitubercular Agents Therapeutic Use Microbiology Device Removal Female Granuloma Humans Middle Aged Drug Therapy Pathology Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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