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Cryptococcal breast abscess.

Wilhelmina E M Schouten1, Marjolein Damen, Paul H P Davids

  • 1Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.

Scandinavian Journal of Infectious Diseases
|June 18, 2002
PubMed
Summary
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Cryptococcal breast abscesses are rare and can resemble tumors. This case highlights successful treatment using oral fluconazole and surgery for an isolated infection, even in a patient with type II diabetes mellitus.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Cryptococcal infections are typically opportunistic, affecting immunocompromised individuals.
  • Breast abscesses are usually bacterial, with fungal causes being rare.
  • Neoplastic lesions of the breast can present as palpable masses, necessitating differential diagnosis.

Observation:

  • A case of an isolated cryptococcal breast abscess is presented.
  • The patient had a history of diabetes mellitus type II.
  • No other underlying predisposing conditions were identified.

Findings:

  • The cryptococcal breast abscess mimicked a neoplastic lesion.
  • Successful treatment was achieved with a combination of oral fluconazole and surgical excision.

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  • The patient's diabetes mellitus type II was the only identified comorbidity.
  • Implications:

    • This case expands the differential diagnosis for breast masses.
    • It underscores the importance of considering fungal infections in breast pathology.
    • Effective management strategies for cryptococcal breast abscesses include antifungal therapy and surgical intervention.