Actinomycosis of male breast: a rare case report

Authors

  • Abhishek Mahadik Department of General Surgery, D. Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • Rontgen Rajakumar Department of General Surgery, D. Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • Nida Khan Department of General Surgery, D. Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • Pragati Singhal Department of General Surgery, D. Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20200847

Keywords:

Actinomycosis, Actinomycosis of breast, Actinomycosis israelii, Granulomatous inflammation

Abstract

Actinomyces is a commensal of gastrointestinal and genital tract that may cause subacute or chronic granulomatous inflammation. Primary actinomycosis of breast is an extremely rare disease. It may present as a mass or as discharging fistulae. It is often diagnosed after biopsy. It may mimic inflammatory carcinoma or mastitis. Treatment is with a prolonged course of antibiotic. Authors present a case of a 70-year-old male with a palpable breast lump, that was suspected to be malignant. Wide local excision was performed, histopathology confirmed the diagnosis of actinomycoses breast. Patient was given antibiotics post operatively.

References

Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, et al. Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infec Drug Resist. 2014;7:183-97.

Smego Jr RA, Foglia G. Actinomycosis. Clin Infec Dis. 1998:1255-61.

Salmasi A, Asgari M, Khodadadi N, Rezaee A. Primary actinomycosis of the breast presenting as a breast mass. Breast Care. 2010;5(2):105-7.

Metgud SC, Sumati H, Sheetal P. Cutaneous actinomycosis: A rare case. Ind J Med Microbiol. 2007;25(4):413.

Lloyd D. Primary actinomycosis of the breast. Brit. J Surg. 1951;38(151):378-81.

Capobianco G, Dessole S, Becchere MP, Profili S, Cosmi E, Cherchi PL, et al. A Rare Case of Primary Actinomycosis of the Breast Caused by Actinomyces viscosus: Diagnosis by Fine‐needle Aspiration Cytology under Ultrasound Guidance. Breast J. 2005;11(1):57-9.

Attar KH, Waghorn D, Lyons M, Cunnick G. Rare species of actinomyces as causative pathogens in breast abscess. Breast J. 2007;13(5):501-5.

Jain BK, Sehgal VN, Jagdish S, Ratnakar C, Smile SR. Primary actinomycosis of the breast: a clinical review and a case report. J Dermatol. 1994;21(7):497-500.

Mohammed KN. Actinomycosis of the accessory breast treated with cotrimoxazole. Med J Malaysia. 1993;48(2):229-31.

Brunner S, Graf S, Riegel P, Altwegg M. Catalase-negative Actinomyces neuii subsp. neuii isolated from an infected mammary prosthesis. Inter J Med Microbiol. 2000;290(3):285-7.

Mahendiran, Shavitri A, Leibman AJ, Kommehl AS. Male breast abscess secondary to actinomycosis: a case report. J Clin Diag Res. 2016;10:5.

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Published

2020-02-26

Issue

Vol. 7 No. 3 (2020): March 2020

Section

Case Reports