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Herpes Mastitis: Diagnosis and Management
Arnaud Toussaint1,2, Colin Simonson1, Christian Valla2
1Department of Gynecology, Obstetrics and Medical Genetics, University Hospital of Lausanne, Lausanne, Switzerland.
The Breast Journal
|February 23, 2016
Summary
Herpes simplex virus (HSV) can cause rare breast infections, often transmitted sexually to non-lactating women from asymptomatic carriers. Early diagnosis and valacyclovir treatment are highlighted for this uncommon condition.
Area of Science:
- Dermatology
- Infectious Diseases
- Virology
Background:
- Herpes simplex virus (HSV) commonly causes oral and genital lesions.
- HSV breast infections are rare, with transmission typically from infant to mother in published literature.
- Extramammary HSV infections, including breast involvement, are infrequently documented.
Observation:
- Two cases of simultaneous mammary and extramammary (oral and genital) herpetic infections in nonlactating women are presented.
- In both cases, women acquired HSV breast lesions through sexual contact with asymptomatic HSV carrier partners.
- This suggests sexual transmission as a potential route for HSV breast infections in non-lactating women.
Findings:
- HSV can manifest as a breast infection, even in non-lactating women.
- Sexual contact with asymptomatic carriers is a plausible route of transmission for HSV breast infections.
- Clinical signs for early diagnosis of HSV breast infections can be identified through literature review.
Implications:
- Recognizing sexual transmission is crucial for diagnosing and preventing HSV breast infections.
- Valacyclovir demonstrates efficacy in treating this uncommon HSV manifestation.
- Increased awareness among healthcare providers can improve early detection and management of herpetic breast infections.
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