“…Both breasts are rarely involved together in TM [ 5 , 11 ]. Although TM is reported to affect females within the reproductive age group of 21-40 years most commonly, the associated risk factors generally include multiparity, lactation, trauma, past history of suppurative mastitis and AIDS [ 5 ]. Primary TM, though much less common than the secondary form, may occur through abrasions in the breast skin or through the duct openings on the nipples [ 4 ].…”