Necrotizing Fasciitis of the Breast: A Case Managed without Mastectomy

Soliman, Mohamed O.; Ayyash, E. H.; Aldahham, A.; Asfar, Sami

doi:10.1159/000330026

Cited by 22 publications

(22 citation statements)

References 20 publications

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“…It can be idiopathic, but it has been reported to develop in the breast following a core needle biopsy,3 an elective mastectomy2 and breast augmentation 6. To date two types of NF have been described.…”

Section: Discussionmentioning

confidence: 99%

Breast necrotising fasciitis managed by partial mastectomy

Kaczynski¹,

Dillon

Hilton

2012

Case Reports

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We present the case of a 75-year-old woman who presented with extensive breast cellulitis, which was thought to be secondary to a deep breast abscess. On admission the patient underwent debridement of the breast and broad-spectrum intravenous antibiotics were administered. However, during hospitalisation she developed sepsis, acute renal failure and required further debridements for the rapidly spreading necrotising fasciitis. Subsequently, a partial mastectomy was performed and the patient made an overall good postoperative recovery.

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Section: Discussionmentioning

confidence: 99%

Breast necrotising fasciitis managed by partial mastectomy

Kaczynski¹,

Dillon

Hilton

2012

Case Reports

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“…The first case of NF of the breast was described by Shah in 2001 , and only 11 cases of PNFB (i.e. with no previous trauma or intervention) have been reported in the literature so far (Table ); among these, only 5 cases without any associated comorbidity are reported . The current case is the first described Italian case of PNFB in otherwise healthy patients, the second in Europe and the sixth reported in the English literature (Table ).…”

Section: Discussionmentioning

confidence: 72%

“…As far as NF affecting the breast is concerned, the mastectomy has been reported to be the most common surgical procedure in the published literature (Table ), but the most effective treatment is not well established because of the lack of a large case series. In this context, some authors have suggested breast conservative treatment , and only one paper reported about wound management using NPWT (Table ).…”

Section: Discussionmentioning

confidence: 99%

“…It is even more unusual as a primary disease of the breast, with no previous invasive procedure or other comorbid conditions. To the best of our knowledge, only 11 cases of spontaneous necrotising infection of the breast have been reported in the literature , and 5 of these were otherwise healthy women . Mastectomy is reported to be the main treatment in the published literature.…”

Section: Introductionmentioning

confidence: 99%

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A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

Marongiu

Buggi

Mingozzi

et al. 2016

International Wound Journal

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Necrotising fasciitis is a rare but potentially fatal disease. It is even more unusual as a primary disease of the breast. Surgical treatment is required in order to gain control over the spreading infection and mastectomy is reported to be the most common procedure. We report the first case of an otherwise healthy woman exhibiting a primary necrotising fasciitis of the breast, which was treated combining conservative surgery with hyperbaric oxygen (HO) and negative pressure wound therapy (NPWT). A 39-year-old woman presented to the emergency room with fever and swelling of her right breast. The physical examination showed oedema and erythema of the breast, with bluish blisters on the lower quadrant. Ultrasound and CT scans showed diffuse oedema of the entire right breast, with subdermal gas bubbles extending to the fascial planes. Few hours later the necrotic area extended regardless an IV antibiotic therapy; a selective debridement of all breast necrotic tissue was performed and repeated 7 days later. The HO was started immediately after the first surgery and repeated daily (2·8 Bar, 120 min) for 18 days and then a NPWT (120-135 mmHg) was applied. Forty-five days after the last debridement, the breast wound was covered with a full-thickness skin graft. Several months later, an excellent cosmetic result was observed. This is the first case of primary necrotising fasciitis of the breast treated associating HO and NPWT to surgical debridement only; this combination resulted in a complete recovery with the additional benefit of breast conservation. Such result is discussed in light of the available literature on the treatment of primary necrotising fasciitis of the breast.

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“…Therefore, a mastectomy is needed in over 90% of cases (3,7). Only two cases treated conservatively were found in literature, of whom one needed split-skin grafting (7,8). We performed a debridement with a second-look operation.…”

Section: Discussionmentioning

confidence: 99%

An Atypical Case of Necrotizing Fasciitis of the Breast

Mufty¹,

Smeets²,

Christiaens

2014

Acta Chirurgica Belgica

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Necrotizing fasciitis is a rare and aggressive soft tissue infection involving the fascia and subcutaneous tissues. It carries a high mortality and morbidity rate. In literature, the few case reports on necrotizing fasciitis of the breast, describe the need for a mastectomy in 90% of the cases. We report on a case of a 72-year old Caucasian women with an atypical presentation of necrotizing fasciitis of the breast in combination with an acute abdomen, successfully treated with breast-conserving debridement and secondary wound closure.

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Necrotizing Fasciitis of the Breast: A Case Managed without Mastectomy

Cited by 22 publications

References 20 publications

Breast necrotising fasciitis managed by partial mastectomy

Breast necrotising fasciitis managed by partial mastectomy

A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

An Atypical Case of Necrotizing Fasciitis of the Breast

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