Non Lactational Breast Abscess due to Actinomyces odontolyticus: First Case Report from Asia
Dr. Dinoop Korol Ponnambath,
Assistant Professor, Department of Microbiology, PSG Institute of Medical Sciences and Research,
Coimbatore-641004, Tamil Nadu, India.
Actinomycosis is a chronic infection caused by the aerotolerant anaerobe, Actinomyces spp., characterised by the formation of abscess, draining sinuses and tissue fibrosis. Primary actinomycosis of the breast is a rare clinical presentation. We describe a rare case of breast abscess due to Actinomyces odontolyticus in a 53-year-old premenopausal woman with invasive papillary carcinoma of breast. The organism was isolated from the breast abscess and the identity was confirmed using VITEKÂ® 2 and Matrix Assisted Laser Desorption/Ionisation-Time of Flight (MALDI-TOF). The patient was managed with modified radical mastectomy and amoxicillin-clavulanic acid for six weeks. The patient recovered completely with no recurrence on follow up visits.