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Percutaneous breast implant herniation: a rare complication of miliary TB.

Dale, Adam P and Dedicoat, Martin J and Saleem, Tausif and Moran, Ed (2015) Percutaneous breast implant herniation: a rare complication of miliary TB. BMJ case reports, 2015. ISSN 1757-790X. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login ID's.

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Official URL: http://casereports.bmj.com/content/2015/bcr-2014-2...

Abstract

We describe the case of a 46-year-old female patient treated for disseminated tuberculosis (TB) infection involving the lungs, urinary tract and skin. Following initiation of antituberculous therapy, the patient's right breast implant eroded through the overlying skin and was seen to be herniating through the resulting defect. The breast implant was removed under local anaesthetic and histological analysis of the resected tissue demonstrated granuloma formation consistent with periprosthetic TB. Wound healing following implant removal was poor and future breast augmentation surgery was only considered following completion of 12 months anti-TB treatment. This case constitutes the first report in the literature of percutaneous breast implant herniation resulting from periprosthetic infection with TB. A high index of suspicion is required to ensure early detection and timely management of TB and, in cases where periprosthetic pus aspirate is sterile, mycobacterial infection must be actively excluded.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login ID's.
Subjects: WC Communicabable diseases
Divisions: Clinical Support > Infectious Diseases
Related URLs:
Depositing User: Miss Adele Stanton
Date Deposited: 31 May 2015 06:25
Last Modified: 31 May 2015 06:25
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/905

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