[Primary tuberculosis of the breast].
BACKGROUND
Despite generalized BCG vaccination, tuberculosis remains a public health issue in France. Breast localizations are exceptional and constitute a diagnostic and therapeutic challenge.


METHODS
A 34-year-old woman who was nursing her 3-month old infant underwent emergency surgery for a breast abscess that had been incised one month earlier and treated with non-specific antibiotic therapy without success. All necrotic tissue was removed. Pathology provided the diagnosis of tuberculosis. An anti-tuberculosis regimen (INH + rifampicin + PZA + ethambutol for two months followed by INH + rifampicin for 7 months) was instituted. The epidemiology search was negative and no extension was found. The clinical course was favorable at 6 months.


CONCLUSIONS
Tuberculosis is rarely localized in the breast. The main differential diagnosis is breast cancer. Pathology examination is required for diagnosis. Anti-tuberculosis antibiotic therapy may be associated with surgery in case of extension.
Daali
M
M
Service de Chirurgie générale, Hôpital Militaire Avicenne, Marrakech, Maroc.
Hssaida
R
R
Hda
A
A
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D001940:Breast / Q000473:pathology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008413:Mastitis / Q000175:diagnosis* / Q000628:therapy; D014375:Tuberculoma / Q000175:diagnosis / Q000628:therapy; D014376:Tuberculosis / Q000175:diagnosis* / Q000628:therapy
D000995:Antitubercular Agents