[Two cases of breast tuberculosis in Madagascar].
Breast tuberculosis is rare. It usually involves young women of childbearing age. The purpose of this report is to describe two cases of breast tuberculosis observed in Madagascar with focus on epidemiological, clinical, and therapeutic features. Infection of the breast is usually secondary by lymphatic, contiguous, or, more rarely haematogenous spreading. Primary infection is uncommon. The most frequent clinical form is the fistulised nodular form observed in both patients described in this report. The diffuse form is the least common form and the sclerous form occurs in the elderly. Histology is a valuable diagnostic tool if bacteriological findings are inconclusive. Patients respond favourably to antimycobacterium treatment with or without surgery.
Service des Urgences Chirurgicales, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA), Armpefiloha, BP 4150 Antananarivo 101, Madagascar. rrhery@yahoo.fr
H N
HN
Rakoto-Ratsimba
L H
LH
Samison
H J C
HJ
Razafimahandry
A F
AF
Rakototiana
Z
Z
Imbiki
A
A
Ranaivozanany
D000293:Adolescent; D001941:Breast Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008270:Madagascar; D008875:Middle Aged; D014376:Tuberculosis / Q000175:diagnosis*