First Reported Case of Breast Sporotrichosis in Bahrain

Granulomatous mastitis is a chronic inflammation of the breast, mostly of unknown etiology. The treatment would be definitive if the causative organism were isolated. It is characterized histologically by granulomas, formed mostly by polymorph nuclear neutrophils and central necrosis. Herein, we report a 46-year-old woman who presented with a non-responding to treatment right breast abscess of six months duration. The abscess was associated with multiple fistula formation. Radiological investigations were inconclusive. She needed incision and drainage many times. The diagnosis of granulomatous mastitis secondary to sporotrichosis can only be made after breast tissue biopsy and culture. She was started on itraconazole. She responded slowly and later needed resection of the remaining mass.