Non Lactational Breast Abscess due to Actinomyces odontolyticus: First Case Report from Asia
Published: April 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/32718.11354
Dinoop Korol Ponnambath, MS Priyadharshini, Appalaraju Boppe
1. Assistant Professor, Department of Microbiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.
2. Postgraduate Student, Department of Microbiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.
3. Professor and Head, Department of Microbiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.
Correspondence
Dr. Dinoop Korol Ponnambath,
Assistant Professor, Department of Microbiology, PSG Institute of Medical Sciences and Research,
Coimbatore-641004, Tamil Nadu, India.
E-mail: drdinukp@gmail.com
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 VITEK® 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.
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