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CASE REPORT
Salmonella Enteritidis breast abscess: an unusual cause of breast abscess in the UK
  1. Zaid Al-Ishaq1,
  2. Oishi Sikdar2,
  3. Donald Dobie3,
  4. Tapan Sircar1
  1. 1Department of Surgery, New Cross Hospital, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, West Midlands, UK
  2. 2Imperial College School of Medicine, London, UK
  3. 3Department of microbiology, New cross hospital,Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, West Midlands, UK
  1. Correspondence to Zaid Al-Ishaq, zaidraouf{at}gmail.com

Summary

Breast abscess is a common clinical condition mostly caused by Staphylococcus aureus. However, infections due to mixed organisms are observed in non-lactational women, mostly in smokers. Salmonella infection causing breast abscess is extremely rare in developed countries. We report a case of Salmonella enterica subsp enterica (I) serovar Enteritidis breast abscess in a 48-year-old woman, a UK citizen, who had recently travelled abroad. She was treated successfully with a combination of surgery and ciprofloxacin. Unusual causative organisms should be kept in mind in patients with recent travel abroad and pus should be sent for microbiology. Mastitis caused by Salmonella spp can present with a severely indurated area that may take a few weeks to resolve. Complete assessment with biopsy of the indurated area and breast imaging is mandatory to exclude malignancy.

  • breast surgery
  • tropical medicine (infectious disease)
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Footnotes

  • Contributors OS drafted the initial manuscript. ZA-I reviewed and revised the manuscript. DD has reviewed and revised the manuscript. TS has critically reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research fromany funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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