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Open Access Case report

Mycobacterial infection of breast prosthesis – a conservative treatment: a case report

David Atallah1*, Nadine El Kassis1, George Araj2, Marwan Nasr3, Roy Nasnas4, Nicolas Veziris567 and Dolla Sarkis8

Author Affiliations

1 Department of Gynecology and Obstetrics, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon

2 Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon

3 Department of Plastic Surgery, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon

4 Department of Infectious Diseases, Hôtel-Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon

5 Sorbonne University, Université Pierre et Marie Curie-Paris 6, CR7, Centre d’Immunologie et des Maladies Infectieuses (CIMI), team E13 (Bacteriology), 75013 Paris, France

6 INSERM, U1135, Centre d’Immunologie et des Maladies Infectieuses (CIMI), team E13 (Bacteriology), 75013 Paris, France

7 AP-HP, Hôpital Pitié-Salpêtrière, Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Bactériologie-Hygiène, 75013 Paris, France

8 Faculty of Pharmacy, Saint Joseph University, Beirut, Lebanon

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BMC Infectious Diseases 2014, 14:238  doi:10.1186/1471-2334-14-238

Published: 5 May 2014

Abstract

Background

Bacterial infection is a well-known risk of breast implant surgery. It is typically caused by bacterial skin flora, specifically Staphylococcus aureus and the coagulase negative staphylococci. There have been infrequent reports of breast implant infection caused by the atypical mycobacteria, of which Mycobacterium canariasense not yet reported in the literature.

Case presentation

This report summarizes the case of a female patient who underwent mastectomy followed by bilateral breast augmentation and presented approximately three years later with clinical evidence of infected breast prosthesis by Mycobacterium canariasense. One year after thoroughly follow-up, appropriate antibiotherapy and the change of the infected prosthesis, the patient presented no signs of reinfection.

Conclusion

Our case demonstrates that Mycobacterium canariasense should be considered as a new potential cause of infected breast prosthesis.

Keywords:
Antibiotherapy; Conservative treatment; Mastectomy; Mycobacterium canariasense; Prosthesis; Sparing