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Breast abscess: coagulase-negative staphylococcus as a sole pathogen

S Surani1, H Chandna, R A Weinstein

  • 1Department of Medicine, Michael Reese Hospital & Medical Center, Chicago, Illinois 60616.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|October 1, 1993
PubMed
Summary

A rare breast abscess in a nonlactating woman was caused by coagulase-negative staphylococci. Prompt incision, drainage, and antibiotics led to successful treatment of this uncommon infection.

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Area of Science:

  • Medical microbiology
  • Infectious diseases
  • Surgical pathology

Background:

  • Breast abscesses are uncommon in nonlactating women.
  • Coagulase-negative staphylococci are rarely identified as the sole causative agent in such cases.

Observation:

  • A case of a 67-year-old woman with a breast abscess is presented.
  • Fine needle aspiration, incision and drainage, and biopsy specimens revealed acute inflammation and gram-positive cocci.
  • Cultures consistently isolated coagulase-negative staphylococci.

Findings:

  • The patient's breast abscess was successfully treated with incision and drainage.
  • Antibiotic therapy was effective in managing the infection.
  • This case highlights coagulase-negative staphylococci as a potential pathogen in nonlactating breast abscesses.

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Implications:

  • This case expands the understanding of causative agents in uncommon breast infections.
  • It underscores the importance of microbiological identification in guiding treatment.
  • Effective management involves prompt surgical intervention and targeted antibiotic therapy.