Breast filariasis presenting as breast abscess: a rare entity from an endemic region

Authors

  • Vaibhav R. Gopal Department of Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Surender Kumar Department of Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Faraz Ahmad Department of Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Mithlesh Bhargav Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  • Riddhi Jaiswal Department of Pathology, King George’s Medical University, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20194456

Keywords:

Filariasis, Diethyl carbazine citrate, Granulomatous mastitis, Benzathine penicillin

Abstract

A thirty two year female presented with painless progressive lump in right breast with intermittent high grade fever for 10 days. No other symptoms were present. She was non diabetic, non-hypertensive with insignificant family and menstrual history. On examination there was a tender freely mobile lump of approximately 5×4 cm occupying lower inner quadrant having firm consistency and a centre fluctuant area of 1 cm, the overlying skin was erythematous. A single non tender mobile lymph node was present in the right axilla. Contralateral breast was clinically normal. High resolution sonography revealed cystic lesion from 3-6 O’ clock position and axillary lymphadenopathy. The fine needle aspiration cytology showed microfilariae. Hence, a diagnosis of breast filariasis was made. Fluid aspirated from the cavity came out to be sterile. Patient improved symptomatically on di-ethyl-carbazine citrate (DEC) therapy (6 mg/kg for 2 weeks) and the lump too regressed in size.

Author Biographies

Vaibhav R. Gopal, Department of Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India

Department of General Surgery

Senior Resident

Surender Kumar, Department of Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India

Department of General Surgery

Professor

Faraz Ahmad, Department of Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India

Department of General Surgery

Assistant Professor

Mithlesh Bhargav, Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Department of Pathology

Senior Resident

Riddhi Jaiswal, Department of Pathology, King George’s Medical University, Lucknow, Uttar Pradesh, India

Department of Pathology

Associate Professor

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Published

2019-09-26

Issue

Section

Case Reports