[Bilateral tuberculous mastitis nulliparous patient, initially treated as idiopathic granulomatous mastitis].
The breast infection by M tuberculosis is rare, when it occurs, clinical and histologically confused with other forms of granulomatous inflammation, making it essential to use other diagnostic methods also may be negative. We report a patient with fimica mastitis that originally was treated as idiopathic granulomatous mastitis with apparent satisfactory clinical response. However, frequent relapses forced to look for other etiologies. Fortunately, the PCR showed the cause and was managed with specific treatment with disappearance of the disease. Clinical suspicion should be in mind when faced with a case like ours.
Hospital General de Zona con Medicina Familiar número 1, Delegación Chiapas, Instituto Mexicano del Seguro Social. jlruizm@hotmail.com
José Luis
JL
Ruiz-Moreno
Genaro
G
Peña-Santos
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003951:Diagnostic Errors; D004359:Drug Therapy, Combination; D004977:Ethambutol / Q000627:therapeutic use; D005260:Female; D058890:Granulomatous Mastitis / Q000175:diagnosis*; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008413:Mastitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008727:Methotrexate / Q000627:therapeutic use; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification; D016133:Polymerase Chain Reaction; D011241:Prednisone / Q000627:therapeutic use; D011718:Pyrazinamide / Q000627:therapeutic use; D012008:Recurrence; D012293:Rifampin / Q000627:therapeutic use; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000995:Antitubercular Agents; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D011241:Prednisone; D012293:Rifampin; D008727:Methotrexate