Mycobacterium fortuitum abscess following breast nipple piercing

Mycobacterium fortuitum is a non-tuberculous rapidly growing mycobacteria (RGM). We present a case of a 30 year old female who developed a right breast subareolar abscess due to M. fortuitum four months after a nipple piercing. She failed to respond to an initial three-week course of monotherapy wit...

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Main Authors: Nikhut Siddique, Moni Roy, Sharjeel Ahmad
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250920301554
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author Nikhut Siddique
Moni Roy
Sharjeel Ahmad
author_facet Nikhut Siddique
Moni Roy
Sharjeel Ahmad
author_sort Nikhut Siddique
collection DOAJ
description Mycobacterium fortuitum is a non-tuberculous rapidly growing mycobacteria (RGM). We present a case of a 30 year old female who developed a right breast subareolar abscess due to M. fortuitum four months after a nipple piercing. She failed to respond to an initial three-week course of monotherapy with trimethoprim-sulfamethoxazole despite aspiration of abscess and removal of offending nipple piercing. Our patient was successfully treated with dual antimicrobial therapy. This report also includes a brief literature review of prior reported cases caused by this organism. It is important to keep M. fortuitum and other RGM species on the differential if there is failure of resolution of abscess and infection with routine antimicrobial therapy.
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spelling doaj.art-f2855489cfe44f5684553970aef236342022-12-21T22:55:05ZengElsevierIDCases2214-25092020-01-0121e00847Mycobacterium fortuitum abscess following breast nipple piercingNikhut Siddique0Moni Roy1Sharjeel Ahmad2Department of Internal Medicine, University of Illinois College of Medicine- Peoria, United States; Corresponding author.Department of Internal Medicine, University of Illinois College of Medicine- Peoria, OSF Saint Francis Medical Center, Peoria, IL, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, University of Illinois College of Medicine- Peoria, Peoria, United StatesMycobacterium fortuitum is a non-tuberculous rapidly growing mycobacteria (RGM). We present a case of a 30 year old female who developed a right breast subareolar abscess due to M. fortuitum four months after a nipple piercing. She failed to respond to an initial three-week course of monotherapy with trimethoprim-sulfamethoxazole despite aspiration of abscess and removal of offending nipple piercing. Our patient was successfully treated with dual antimicrobial therapy. This report also includes a brief literature review of prior reported cases caused by this organism. It is important to keep M. fortuitum and other RGM species on the differential if there is failure of resolution of abscess and infection with routine antimicrobial therapy.http://www.sciencedirect.com/science/article/pii/S2214250920301554Mycobacterium fortuitumBreast abscessPiercingInfection
spellingShingle Nikhut Siddique
Moni Roy
Sharjeel Ahmad
Mycobacterium fortuitum abscess following breast nipple piercing
IDCases
Mycobacterium fortuitum
Breast abscess
Piercing
Infection
title Mycobacterium fortuitum abscess following breast nipple piercing
title_full Mycobacterium fortuitum abscess following breast nipple piercing
title_fullStr Mycobacterium fortuitum abscess following breast nipple piercing
title_full_unstemmed Mycobacterium fortuitum abscess following breast nipple piercing
title_short Mycobacterium fortuitum abscess following breast nipple piercing
title_sort mycobacterium fortuitum abscess following breast nipple piercing
topic Mycobacterium fortuitum
Breast abscess
Piercing
Infection
url http://www.sciencedirect.com/science/article/pii/S2214250920301554
work_keys_str_mv AT nikhutsiddique mycobacteriumfortuitumabscessfollowingbreastnipplepiercing
AT moniroy mycobacteriumfortuitumabscessfollowingbreastnipplepiercing
AT sharjeelahmad mycobacteriumfortuitumabscessfollowingbreastnipplepiercing