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Breast necrotising fasciitis managed by partial mastectomy
Jakub Kaczynski1, Marianne Dillon, Joanna Hilton
1Vascular Surgery Department, ABM University Health Board, Morriston Hospital, Swansea, UK. jakub.kaczynski@hotmail.co.uk
BMJ Case Reports
|June 7, 2012
Summary
A severe breast infection led to sepsis and kidney failure in an elderly woman. Prompt surgical intervention and antibiotics were crucial for her recovery from necrotizing fasciitis.
Area of Science:
- Medical Case Study
- Infectious Disease
- Surgical Oncology
Background:
- Breast cellulitis can indicate a deeper underlying infection, such as a breast abscess.
- Early recognition and management are critical for preventing severe complications.
Observation:
- A 75-year-old woman presented with extensive breast cellulitis, presumed secondary to a deep breast abscess.
- Initial treatment included debridement and broad-spectrum antibiotics.
Findings:
- The patient developed sepsis, acute renal failure, and rapidly spreading necrotizing fasciitis during hospitalization.
- Further debridements and a partial mastectomy were required.
Implications:
- This case highlights the aggressive nature of necrotizing fasciitis secondary to breast infections.
- Aggressive surgical management combined with antibiotics is essential for patient survival and recovery.