Bilateral mammary abscess and uveitis caused by brucella melitensis — Report of a case

Gasser, I; Almirante, Benito; Fernández-Pérez, F.; Mendoza, C.

doi:10.1007/bf01643759

Cited by 24 publications

(28 citation statements)

References 7 publications

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“…To our knowledge, bilateral dacryoadenitis is the first case report for Brucella melitensis infection. Brucellosis associated with exocrine glands such as mastitis and pancreatitis have been previously reported in the literature (Gasser et al 1991;Odeh & Oliven 1995). This case shows that brucella may invades exocrine glands as a new location.…”

Section: Bilateral Dacryoadenitis Associated With Brucellosismentioning

confidence: 59%

A new device for ocular massage after trabeculectomy

Quaranta

1999

Acta Ophthalmologica Scandinavica

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Section: Bilateral Dacryoadenitis Associated With Brucellosismentioning

confidence: 59%

A new device for ocular massage after trabeculectomy

Quaranta

1999

Acta Ophthalmologica Scandinavica

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“…In three of the reported cases [7,14,15] the infection probably represented hematogenous spread as it involved both breasts simultaneously.…”

Section: Discussionmentioning

confidence: 99%

“…Systemic brucellosis is the most common clinical form of the disease but hematogenous spread may result in focal forms of infection. Endocarditis, glomerulonephritis, uveitis, splenic abscess, hepatic abscess, and prosthetic device infection all represent hematogenous spread of the infection [4][5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Breast Brucellosis in Taif, Saudi Arabia: cluster of six cases with emphasis on FNA evaluation

Nemenqani

Yaqoob

Khoja

2009

J Infect Dev Ctries

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Background: Brucellosis is an endemic zoonosis seen in a variety of geographical locations such as the Middle East and Latin American and Mediterranean countries. Brucellosis is hyper-endemic in Saudi Arabia with an incidence of 5.4 per 1000 per year. Breast involvement very rarely occurs as a focal complication of brucellosis. Methodology: We report six cases of breast brucellosis retrieved from the files of the patients. Fine needle aspiration (FNA) was performed on all patients. In all cases direct smears were made at the patient's side for assessment of sample quality. Cytospin and cell block preparation was done and Gram, periodic acid-Schiff and Ziel-Nelson stains were done on all samples. Microbiological analysis included routine fungal and bacterial culture for tuberculosis. Results: Age range was 20 to 48 years with a median of 22 years. Two patients gave history of raw milk ingestion, one was lactating, and one patient was pregnant. Cytomorphologic features of brucellosis in the breast include an abscess-like background with granulomatous inflammation. Cytology of the patients presented with breast abscess showed predominant neutrophilic infiltrate compatible with acute pyogenic inflammation. Culture was positive for B. melitensis in all cases. Conclusion: Brucellosis should be kept in mind in the differential diagnosis of breast abscess in endemic areas where ingestion of unpasteurized milk and milk products is common. Needle aspiration establishes a preliminary diagnosis and has the advantage of material submission for microbiologic cultures and provides focal treatment along with long-term combined antibacterial treatment for the control of systemic infection.

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“…In microbiology laboratories stringent infection control measures, including the use of a class II biosafety hood, are required when handling a suspected Brucella-positive specimen. Soft tissue infection is extremely rare, and considering the organism has a tropism for the reproductive system, infection of the breast has been reported in only three cases in the English literature [7][8][9]. In two of these cases the infection probably represented hematogenous spread as it involved both breasts simultaneously.…”

Section: Discussionmentioning

confidence: 99%

Unusual Complication of Breast Implants: Brucella Infection

2001

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Brucellosis is hyperendemic in Saudi Arabia. We report infection in a breast implant as an unusual complication of laboratory-acquired brucellosis. A 48-year-old female developed fever, rigors, headache, arthralgia and weight loss. A blood culture for Brucella was positive. A 6-week course of antibiotics effected a clinical and bacteriological cure but the resolution was short-lived. Six weeks later a relapse of her febrile symptoms occurred together with the appearance of a breast abscess. Cultures of the abscess and blood yielded brucella. A second course of antibiotics together with surgical drainage and subsequent reconstruction resulted in a cure.

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Bilateral mammary abscess and uveitis caused by brucella melitensis — Report of a case

Cited by 24 publications

References 7 publications

A new device for ocular massage after trabeculectomy

A new device for ocular massage after trabeculectomy

Breast Brucellosis in Taif, Saudi Arabia: cluster of six cases with emphasis on FNA evaluation

Unusual Complication of Breast Implants: Brucella Infection

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