Breast necrotising fasciitis managed by partial mastectomy.
We present the case of a 75-year-old woman who presented with extensive breast cellulitis, which was thought to be secondary to a deep breast abscess. On admission the patient underwent debridement of the breast and broad-spectrum intravenous antibiotics were administered. However, during hospitalisation she developed sepsis, acute renal failure and required further debridements for the rapidly spreading necrotising fasciitis. Subsequently, a partial mastectomy was performed and the patient made an overall good postoperative recovery.
Vascular Surgery Department, ABM University Health Board, Morriston Hospital, Swansea, UK. jakub.kaczynski@hotmail.co.uk
Jakub
J
Kaczynski
Marianne
M
Dillon
Joanna
J
Hilton
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001940:Breast / Q000473:pathology*; D003646:Debridement; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007275:Injections, Intravenous; D015412:Mastectomy, Segmental / Q000379:methods*
D000900:Anti-Bacterial Agents