Prototheca wickerhamii breast implant infection after reconstructive surgery: a new level of complexity

Joanne S K Teh1,2, Amalie E Wilke3, Simon M Overstall4

  • 1Department of Perioperative Medicine, Cabrini Health, 181-183 Wattletree Road, Malvern, Victoria, 3144, Australia.

We report the first published case of Prototheca wickerhamii breast implant infection. This occurred after mastectomy, chemotherapy, radiotherapy, breast reconstruction, implant revisions and breast seroma aspirations and was preceded by polymicrobial infection. Definitive treatment required implant removal and intravenous liposomal amphotericin B. The management of breast prosthesis infections is discussed.