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Gestational Antibioma of the Breast: A Rare Case Presentation

Received: 23 February 2023    Accepted: 10 March 2023    Published: 24 March 2023
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Abstract

Breast is an important organ of the female human body. It is composed of skin, subcutaneous tissue and breast tissue. Mastitis is defined as inflammation of the breast tissue. It is painful with high fever, chills and red, tender, hot, and swollen areas of the breast. The causes are mainly inflammatory or infectious. Staphylococcus aureus is the most common bacteria involved in this condition. If left under-treated or untreated, infective mastitis can lead to breast abscess or septicemia. Management of breast abscess consists of aspiration or mini incision and drainage in combination with appropriate antibiotic therapy. An antibioma is defined as a hard edematous swelling consisting of sterile pus following treatment of an abscess with long-term antibiotics. The established treatment for antibioma is to surgically incise and drain it like an abscess under analgesics and antimicrobial therapy. Breast infection is most commonly associated with lactation with an incidence rate of 10 percent to 33 percent women. Lactational mastitis has an incidence rate of 2-3 percent of lactating women with 5-11 percent of these patients developing into an abscess. The mean age of incidence is 32 years. On the other hand, non-lactating breast abscesses has a peak incidence in the fourth decade of life. But this condition is rare during gestation with only a few reported cases in literature. We present one such rare case of gestational antibioma in second trimester.

Published in Journal of Surgery (Volume 11, Issue 1)
DOI 10.11648/j.js.20231101.15
Page(s) 22-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mastitis, Abscess, Septicemia, Antibioma, Incise, Antimicrobial, Lactational

References
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[2] Wilson E, Woodd SL, Benova L. Incidence of and risk factors for lactational mastitis: a systematic review. Journal of Human Lactation. 2020 Nov; 36 (4): 673-86.
[3] Gajjar T, Rao N, Desai N. A left atrial thrombus forming an antibioma: a rare entity. Cardiovascular Surgery and Interventions. 2016; 3 (3): 077-9.
[4] Rilna P, Guna TP, Joseph N, Raghu K. Role of antibiotics in orofacial antibioma and its management: a case report. J Sci Dent. 2019 Jun 1; 9 (1): 13-4.
[5] Egbe TO, Njamen TN, Essome H, Tendongfor N. The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon. International breastfeeding journal. 2020 Dec; 15 (1): 1-7.
[6] Bell H, Peters G, Lynch A, Harle R. Breast disorders during pregnancy and lactation: the differential diagnoses. Journal of Clinical Gynecology and Obstetrics. 2013 Sep 11; 2 (2): 47-50.
[7] Contreras G. A., Rodriguez J. M. (2011). Mastitis: comparative etiology and epidemiology. Journal of Mammary Gland Biology and Neoplasia, 16 (4), 339–356.
[8] Angelopoulou A, Field D, Ryan CA, Stanton C, Hill C, Ross RP. The microbiology and treatment of human mastitis. Medical microbiology and immunology. 2018 Apr; 207: 83-94.
[9] Prasad A, Jain A, Gupta A, Meena R. Clinicopathoradiological Study of Benign Breast Diseases. Indian Journal of Endocrine Surgery and Research. 2021 Jul; 16 (2): 65.
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[11] Mathur P, Sema MK, Bhargava R, Malviya A. A Clinicopathological Study of Benign Breast Diseases In Females At Tertiary Care Center In Western Rajasthan.
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Cite This Article
  • APA Style

    Dipak Kumar Hazarika, Arijit Rumu Baruah, Jayanta Patir. (2023). Gestational Antibioma of the Breast: A Rare Case Presentation. Journal of Surgery, 11(1), 22-25. https://doi.org/10.11648/j.js.20231101.15

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    ACS Style

    Dipak Kumar Hazarika; Arijit Rumu Baruah; Jayanta Patir. Gestational Antibioma of the Breast: A Rare Case Presentation. J. Surg. 2023, 11(1), 22-25. doi: 10.11648/j.js.20231101.15

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    AMA Style

    Dipak Kumar Hazarika, Arijit Rumu Baruah, Jayanta Patir. Gestational Antibioma of the Breast: A Rare Case Presentation. J Surg. 2023;11(1):22-25. doi: 10.11648/j.js.20231101.15

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  • @article{10.11648/j.js.20231101.15,
      author = {Dipak Kumar Hazarika and Arijit Rumu Baruah and Jayanta Patir},
      title = {Gestational Antibioma of the Breast: A Rare Case Presentation},
      journal = {Journal of Surgery},
      volume = {11},
      number = {1},
      pages = {22-25},
      doi = {10.11648/j.js.20231101.15},
      url = {https://doi.org/10.11648/j.js.20231101.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231101.15},
      abstract = {Breast is an important organ of the female human body. It is composed of skin, subcutaneous tissue and breast tissue. Mastitis is defined as inflammation of the breast tissue. It is painful with high fever, chills and red, tender, hot, and swollen areas of the breast. The causes are mainly inflammatory or infectious. Staphylococcus aureus is the most common bacteria involved in this condition. If left under-treated or untreated, infective mastitis can lead to breast abscess or septicemia. Management of breast abscess consists of aspiration or mini incision and drainage in combination with appropriate antibiotic therapy. An antibioma is defined as a hard edematous swelling consisting of sterile pus following treatment of an abscess with long-term antibiotics. The established treatment for antibioma is to surgically incise and drain it like an abscess under analgesics and antimicrobial therapy. Breast infection is most commonly associated with lactation with an incidence rate of 10 percent to 33 percent women. Lactational mastitis has an incidence rate of 2-3 percent of lactating women with 5-11 percent of these patients developing into an abscess. The mean age of incidence is 32 years. On the other hand, non-lactating breast abscesses has a peak incidence in the fourth decade of life. But this condition is rare during gestation with only a few reported cases in literature. We present one such rare case of gestational antibioma in second trimester.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Gestational Antibioma of the Breast: A Rare Case Presentation
    AU  - Dipak Kumar Hazarika
    AU  - Arijit Rumu Baruah
    AU  - Jayanta Patir
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    N1  - https://doi.org/10.11648/j.js.20231101.15
    DO  - 10.11648/j.js.20231101.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 22
    EP  - 25
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231101.15
    AB  - Breast is an important organ of the female human body. It is composed of skin, subcutaneous tissue and breast tissue. Mastitis is defined as inflammation of the breast tissue. It is painful with high fever, chills and red, tender, hot, and swollen areas of the breast. The causes are mainly inflammatory or infectious. Staphylococcus aureus is the most common bacteria involved in this condition. If left under-treated or untreated, infective mastitis can lead to breast abscess or septicemia. Management of breast abscess consists of aspiration or mini incision and drainage in combination with appropriate antibiotic therapy. An antibioma is defined as a hard edematous swelling consisting of sterile pus following treatment of an abscess with long-term antibiotics. The established treatment for antibioma is to surgically incise and drain it like an abscess under analgesics and antimicrobial therapy. Breast infection is most commonly associated with lactation with an incidence rate of 10 percent to 33 percent women. Lactational mastitis has an incidence rate of 2-3 percent of lactating women with 5-11 percent of these patients developing into an abscess. The mean age of incidence is 32 years. On the other hand, non-lactating breast abscesses has a peak incidence in the fourth decade of life. But this condition is rare during gestation with only a few reported cases in literature. We present one such rare case of gestational antibioma in second trimester.
    VL  - 11
    IS  - 1
    ER  - 

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Author Information
  • Teok First Referral Unit, Jorhat, India

  • Teok First Referral Unit, Jorhat, India

  • Prime Pathology Laboratory, Jorhat, India

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