[A case of sepsis development caused by a local infection after breast cancer operation].
The patient was a 77-year-old woman. Simple mastectomy and axilla lymphadenectomy (level I) were performed for a diagnosis of carcinoma of the right breast in November 2004. No complications were observed after the operation. However, sudden pyrexia of 39-degree and a large quantity of scours were onset at the 10th day from the operation. Although a conservative treatment took effect, dyspnea and urine flow fall were shown in the morning of the 11th day without success. A life saving treatment was started due to anoxemia with a diagnosis of shock caused by exsiccation. A bacterial culture showed MRSA and Pseudomonas aeruginosa from an inserted J-background. Antibiotic regimen/endotoxin adsorption and haemodialysis were performed.


CONCLUSIONS
A breast cancer surgery is one of the body surface surgeries, and a breast cancer patient rarely becomes gravely ill because an infection is relatively few. However, there is a tendency to insert a closed system drain for the purpose of maintaining a blood flow from a flap to prevent seroma and complications after the surgery. Therefore, once an infection is developed antidromatically, the infection is detected not only too late but a grave event also is a possibility.
Enomoto
Katsuhisa
K
Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.
Sakurai
Kenichi
K
Amano
Sadao
S
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D011550:Pseudomonas aeruginosa / Q000502:physiology; D018805:Sepsis / Q000097:blood / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents