title: Unusual complication of breast implants: Brucella infection.
abstract: Brucellosis is hyperendemic in Saudi Arabia. We report infection in a breast implant as an unusual complication of laboratory-acquired brucellosis. A 48-year-old female developed fever, rigors, headache, arthralgia and weight loss. A blood culture for Brucella was positive. A 6-week course of antibiotics effected a clinical and bacteriological cure but the resolution was short-lived. Six weeks later a relapse of her febrile symptoms occurred together with the appearance of a breast abscess. Cultures of the abscess and blood yielded brucella. A second course of antibiotics together with surgical drainage and subsequent reconstruction resulted in a cure.
authors.affiliation: Dept. of Infection Prevention and Control, King Fahad National Guard Hospital, Riyadh, Saudi Arabia. memish@ngha.med.sa
authors.forename: Z A
authors.initials: ZA
authors.lastname: Memish
authors.forename: M
authors.initials: M
authors.lastname: Alazzawi
authors.forename: R
authors.initials: R
authors.lastname: Bannatyne
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001941:Breast Diseases / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D018427:Breast Implants / Q000009:adverse effects* / Q000382:microbiology*; D002002:Brucella / Q000302:isolation & purification / Q000472:pathogenicity*; D002006:Brucellosis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D004322:Drainage; D005260:Female; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012008:Recurrence
chemical_list: D000900:Anti-Bacterial Agents