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Breast abscess caused by Brucella melitensis

H M Al Abdely1, M A Halim, T M Amin

  • 1Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

The Journal of Infection
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

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Brucellosis rarely affects the breast in humans. This case study details a successful treatment of a breast abscess caused by Brucella melitensis using a combination antibiotic regimen.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Dermatology

Background:

  • Brucellosis is a zoonotic infection with diverse clinical presentations.
  • Cutaneous and soft tissue manifestations are infrequent in human brucellosis.
  • Breast involvement is exceptionally rare in human cases, unlike in veterinary brucellosis.

Observation:

  • A 39-year-old female presented with a breast abscess.
  • The abscess was diagnosed as being caused by Brucella melitensis.
  • This represents an extremely rare instance of human breast brucellosis.

Findings:

  • The patient received a 3-month course of combination antibiotic therapy.
  • The treatment regimen included trimethoprim/sulphamethoxazole (cotrimoxazole) and doxycycline.

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  • Clinical cure was achieved following the prescribed treatment.

    • Implications:

    • This case highlights the importance of considering brucellosis in the differential diagnosis of breast abscesses, even in non-endemic areas.
    • Successful treatment with standard antibiotic protocols suggests effective management is possible.
    • Further research may elucidate the pathogenesis of rare presentations like breast brucellosis.