title: Failure of oral antibiotic therapy, including azithromycin, in the treatment of a recurrent breast abscess caused by Salmonella enterica serotype Paratyphi A.
abstract: We report a case of recurrent, multifocal Salmonella enterica serotype Paratyphi A breast abscesses, resistant to ciprofloxacin, which relapsed despite surgery, aspiration and multiple courses of antibiotics, including co-trimoxazole and azithromycin. The patient was cured after  a prolonged course of intravenous ceftriaxone.
authors.affiliation: Concord Repatriation General Hospital, Sydney, Australia. sfer3188@gmp.usyd.edu.au
authors.forename: Shelanah
authors.initials: S
authors.lastname: Fernando
authors.forename: Janice Gail
authors.initials: JG
authors.lastname: Molland
authors.forename: Thomas
authors.initials: T
authors.lastname: Gottlieb
mesh_terms: D000038:Abscess / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery; D000284:Administration, Oral; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000494:pharmacology; D017963:Azithromycin / Q000008:administration & dosage*; D001941:Breast Diseases / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery; D002443:Ceftriaxone / Q000008:administration & dosage; D002939:Ciprofloxacin / Q000494:pharmacology; D024881:Drug Resistance, Bacterial; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D010284:Paratyphoid Fever / Q000188:drug therapy* / Q000601:surgery; D012008:Recurrence; D012482:Salmonella paratyphi A / Q000302:isolation & purification*; D013396:Suction; D016896:Treatment Outcome; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D002443:Ceftriaxone; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D017963:Azithromycin