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Anaerobic axillary abscess.

R D Leach, S J Eykyn, I Phillips

    British Medical Journal
    |July 7, 1979
    PubMed
    Summary
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    Axillary abscesses are often caused by Staphylococcus aureus. Hidradenitis suppurativa involves recurrent infections, where anaerobic bacteria are secondary invaders, suggesting surgery is the primary treatment.

    Area of Science:

    • Dermatology
    • Infectious Diseases
    • Microbiology

    Background:

    • Axillary abscesses present a common clinical challenge.
    • Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterized by recurrent abscess formation.

    Purpose of the Study:

    • To investigate the microbiological profile of axillary abscesses.
    • To understand the role of anaerobic bacteria in hidradenitis suppurativa.

    Main Methods:

    • Retrospective analysis of 52 patients with axillary abscesses.
    • Microbiological culture of abscess pus.
    • Histological examination of HS lesions.

    Main Results:

    • Staphylococcus aureus was the most common pathogen in axillary abscesses (34 cases).

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  • Anaerobic bacteria were isolated in 12 cases of axillary abscesses and 5 cases of HS.
  • Histology in HS revealed follicular obstruction and keratin plugging, indicating primary gland abnormality.

    • Conclusions:

    • Staphylococcus aureus is a primary cause of axillary abscesses.
    • Anaerobic bacteria are secondary invaders in hidradenitis suppurativa.
    • Radical surgery is typically indicated for hidradenitis suppurativa due to underlying follicular pathology, while chemotherapy has limited efficacy.