RESUMO
Prevotella buccae is a Gram-negative anaerobic rod involved in some human infections. We report the first case of an infected breast cyst in a non-puerperal women due to this pathogen. A 53-year-old woman presented with pain and a cystic lesion in the right breast. Culture of abscess drainage resulted in isolation of P. buccae. High level of resistance to metronidazole was documented. Treatment with drainage and amoxicillin-clavulanate was established, and improvement of this infection was observed.
Assuntos
Infecções por Bacteroidaceae/microbiologia , Cisto Mamário/microbiologia , Farmacorresistência Bacteriana , Mastite/microbiologia , Metronidazol/farmacologia , Prevotella/efeitos dos fármacos , Abscesso/diagnóstico , Abscesso/microbiologia , Abscesso/terapia , Infecções por Bacteroidaceae/diagnóstico , Infecções por Bacteroidaceae/terapia , Cisto Mamário/patologia , Terapia Combinada , Drenagem , Feminino , Humanos , Espectrometria de Massas , Mastite/diagnóstico , Mastite/terapia , Metronidazol/uso terapêutico , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
Tuberculosis is the most widespread and persistent human infection in the world. Tuberculosis of the breast is an uncommon disease with an incidence range between 0.1-3%, for all the breast diseases treated surgically. We present a case with primary breast tuberculosis. The diagnosis was made based on result of pathological examination of incision biopsy and cure had been obtained with anti-tuberculosis therapy with 4 drugs. Especially for patients from the areas where tuberculosis is endemic, tuberculosis must be considered in differential diagnosis of breast lesions.
