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Updated: Feb 4, 2026

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Corynebacterium Infection Following Implant-based Breast Reconstruction: Lessons from the Five Consecutive Patients.

Jiye Kim1, Minwoo Park1, Seung Yong Song2

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Summary

This study details preventing reconstruction failure from Corynebacterium striatum infections after prosthetic breast reconstruction. Successful salvage was achieved in all five patients through prompt hospitalization, IV antibiotics, and surgical intervention when needed.

Keywords:
Corynebacteriumbreast implantsbreast reconstructioninfections

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Area of Science:

  • Plastic Surgery
  • Infectious Diseases
  • Oncology

Background:

  • Prosthetic breast reconstruction is susceptible to infection, posing a significant challenge.
  • Corynebacterium striatum is an uncommon pathogen identified in recent cases of prosthetic breast reconstruction infection.
  • This study shares experiences in preventing reconstruction failure due to this specific infection.

Purpose of the Study:

  • To report on the management and prevention of Corynebacterium striatum infections in patients undergoing prosthetic breast reconstruction.
  • To outline clinical symptoms and treatment strategies for this rare complication.
  • To provide a reference for reconstructive surgeons facing similar cases.

Main Methods:

  • Retrospective analysis of five patients with Corynebacterium infection post-implant-based breast reconstruction.
  • Treatment involved immediate hospitalization, hemovac insertion, intravenous (IV) antibiotics, and reoperation if necessary.
  • Infection diagnosis confirmed by hemovac cultures or intraoperative specimens.

Main Results:

  • Corynebacterium striatum was identified in all five patients.
  • One patient was successfully treated with IV antibiotics alone; four required implant exchange.
  • Infection cleared within 1-7 weeks, with successful salvage achieved in all patients.

Conclusions:

  • Corynebacterium is a rare but significant pathogen in implant-based breast reconstruction.
  • Successful treatment is achievable with a combination of antibiotics and surgical management.
  • This experience offers valuable insights for managing uncommon infections in breast reconstruction.