Nonpuerperal Breast Infection

[摘要] Objective:We undertook a microbiological study of purulent specimens from women with symptomatic breast abscesses.Methods:Fifty-one purulent samples were collected in 2 periods (December 1991–April 1992 and January 1994–June 1994) from nonpuerperal breast abscesses in 44 patients attending our hospital.Results:One of the most frequently isolated microorganisms wasProteus mirabilis(9 patients, 20.4%), present as a pure culture in all but 1 specimen (isolated together withPeptostreptococcusspp.).Staphylococcus aureuswas isolated in 10 specimens, 6 of which were post-tumorectomy abscesses. Polymicrobial anaerobic flora were isolated in 11 specimens (21.5%);Staphylococcus epidermidisin 4 (8%); andStreptococcus milleri,Alcaligenessp., and mixed aerobic-anaerobic flora in 1 specimen each. The 7 remaining samples (13.7%) were negative bacteriological cultures.Conclusions:We draw attention to the frequent isolation ofP. mirabilisin recurrent and torpid breast abscesses in 4 women in whom surgery was necessary in addition to antibiotic treatment.

[学科分类] 妇产科学