The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Breast Abscess due to Mycobacterium Fortuitum: A Case Report

Mycobacterium Fortuitum에 의한 유방 농양 1예

  • Lee, Sun-Young (Department of Infectious Disease, Keimyung University School of Medicine) ;
  • Kim, Jeong-Min (Department of Infectious Disease, Keimyung University School of Medicine) ;
  • Choi, Eun-Sung (Department of Infectious Disease, Keimyung University School of Medicine) ;
  • Ryu, Seong-Yeol (Department of Infectious Disease, Keimyung University School of Medicine)
  • 이선영 (계명대학교 의과대학 감염내과학교실) ;
  • 김정민 (계명대학교 의과대학 감염내과학교실) ;
  • 최은성 (계명대학교 의과대학 감염내과학교실) ;
  • 류성열 (계명대학교 의과대학 감염내과학교실)
  • Published : 2012.10.01
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Abstract

The rapidly growing nontuberculous mycobacterium, Mycobacterium fortuitum, is of increasing clinical importance. The ubiquitous M. fortuitum has been isolated from water, soil, and dust. M. fortuitum usually causes skin or soft-tissue infection following trauma or surgery, but may also infect a wide variety of tissues, including the lungs, lymph nodes, bones, joints, and meninges. We believe this is the first report of a breast abscess due to M. fortuitum, which presented in an immunocompetent woman in Korea after nipple piercing. A 26-year-old non-pregnant female presented with a 5-month history of a tender right breast lump that gradually increased in size. Pus from the right breast supported the growth of M. fortuitum. Mycobacterial infection should be considered in cases of recurrent breast abscess with sterile bacterial cultures, particularly when there is a history of nipple piercing procedures.

Mycobacterium fortuitum은 비결핵성 마이코박테리아 중 7일 이내에 자라는 신속발육균으로 주로 부패균으로 존재하지만 인간에게서 연부조직 감염으로 나타나나 간혹 폐렴이나 파종성 질환 등의 심각한 형태의 전신적 침범을 보이기도 한다. 현재까지 세계적으로 M. fortuitum에 의한 유방 농양은 3예가 보고된 바가 있으나, 국내에서 M. fortuitum에 의한 유방 농양은 보고된 바가 없다. 이에 저자들은 유두 피어싱 후 반복적인 유방 농양으로 입원한 26세 여자 환자의 유방 절개 후 시행한 농 배양 검사에서 M. fortuitum이 동정되어 M. fortuitum에 의한 유방 농양 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

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