CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES

Objective: To share our experience of clinical features and management strategies for treatment of chronic breast infections. Study Design: Case series. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Feb 2016 to Feb 2018. Methodology: We prospectively enrolled pati...

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Autores principales:	Razia Bano, Sohail Saqib Chatha, Faiza Sana, Humaira Latif, Umar Farooq Chatha, Abdullah Zakaullah Chatha
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	anti tuberculous treatment chronic breast infection demographic characteristics idiopathic granulomatous mastitis Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/da18224610ab4cc3970f0e63dcb011f1
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spelling	oai:doaj.org-article:da18224610ab4cc3970f0e63dcb011f12021-12-02T18:44:47ZCHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES0030-96482411-884210.51253/pafmj.v71i2.2705https://doaj.org/article/da18224610ab4cc3970f0e63dcb011f12021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2705https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To share our experience of clinical features and management strategies for treatment of chronic breast infections. Study Design: Case series. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Feb 2016 to Feb 2018. Methodology: We prospectively enrolled patients with diagnosis of chronic breast infections over a period of two years. All patients with infections (less than one month old) were excluded from the study. We studied the demographic characteristics like age, clinical presentation, histopathological features, treatment given and response to the treatment. Results: A total of 70 patients were enrolled in the study. Patients age was between 21-75 years with mean age of 42 ± 5 years. Most common clinical presentation was lump and in duration with abscess in 23 (33%) cases, mass with discharging sinuses in 16 (23%) cases, while 7 (10%) cases had recurrent abscess. Diagnosis was made on core biopsy in 21 cases and in remaining cases with incision and drainage. Histopathology confirmed diagnosis of Idiopathic Granulomatous mastitis in 30 (43%) cases, acute on chronic mastitis in 27 (38%) and chronic granulomatous mastitis in 13 (18%) cases. Out of all cases 29 (41%) showed response to antibacterial treatment while 27 (38%) cases responded to anti tuberculous treatment. Spontaneous resolution occurred in 11 (16%) cases while 3 (4%) cases responded to antifungal treatment. Conclusion: Chronic breast infections are a challenging condition to diagnose and treat for breast surgeons and can present with diverse range of clinical features.Razia BanoSohail Saqib ChathaFaiza SanaHumaira LatifUmar Farooq ChathaAbdullah Zakaullah ChathaArmy Medical College Rawalpindiarticleanti tuberculous treatmentchronic breast infectiondemographic characteristicsidiopathic granulomatous mastitisMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 401-04 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anti tuberculous treatment chronic breast infection demographic characteristics idiopathic granulomatous mastitis Medicine R Medicine (General) R5-920
spellingShingle	anti tuberculous treatment chronic breast infection demographic characteristics idiopathic granulomatous mastitis Medicine R Medicine (General) R5-920 Razia Bano Sohail Saqib Chatha Faiza Sana Humaira Latif Umar Farooq Chatha Abdullah Zakaullah Chatha CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES
description	Objective: To share our experience of clinical features and management strategies for treatment of chronic breast infections. Study Design: Case series. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Feb 2016 to Feb 2018. Methodology: We prospectively enrolled patients with diagnosis of chronic breast infections over a period of two years. All patients with infections (less than one month old) were excluded from the study. We studied the demographic characteristics like age, clinical presentation, histopathological features, treatment given and response to the treatment. Results: A total of 70 patients were enrolled in the study. Patients age was between 21-75 years with mean age of 42 ± 5 years. Most common clinical presentation was lump and in duration with abscess in 23 (33%) cases, mass with discharging sinuses in 16 (23%) cases, while 7 (10%) cases had recurrent abscess. Diagnosis was made on core biopsy in 21 cases and in remaining cases with incision and drainage. Histopathology confirmed diagnosis of Idiopathic Granulomatous mastitis in 30 (43%) cases, acute on chronic mastitis in 27 (38%) and chronic granulomatous mastitis in 13 (18%) cases. Out of all cases 29 (41%) showed response to antibacterial treatment while 27 (38%) cases responded to anti tuberculous treatment. Spontaneous resolution occurred in 11 (16%) cases while 3 (4%) cases responded to antifungal treatment. Conclusion: Chronic breast infections are a challenging condition to diagnose and treat for breast surgeons and can present with diverse range of clinical features.
format	article
author	Razia Bano Sohail Saqib Chatha Faiza Sana Humaira Latif Umar Farooq Chatha Abdullah Zakaullah Chatha
author_facet	Razia Bano Sohail Saqib Chatha Faiza Sana Humaira Latif Umar Farooq Chatha Abdullah Zakaullah Chatha
author_sort	Razia Bano
title	CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES
title_short	CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES
title_full	CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES
title_fullStr	CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES
title_full_unstemmed	CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES
title_sort	chronic breast infections: challenging condition to diagnose and treat; an overview of 70 cases
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/da18224610ab4cc3970f0e63dcb011f1
work_keys_str_mv	AT raziabano chronicbreastinfectionschallengingconditiontodiagnoseandtreatanoverviewof70cases AT sohailsaqibchatha chronicbreastinfectionschallengingconditiontodiagnoseandtreatanoverviewof70cases AT faizasana chronicbreastinfectionschallengingconditiontodiagnoseandtreatanoverviewof70cases AT humairalatif chronicbreastinfectionschallengingconditiontodiagnoseandtreatanoverviewof70cases AT umarfarooqchatha chronicbreastinfectionschallengingconditiontodiagnoseandtreatanoverviewof70cases AT abdullahzakaullahchatha chronicbreastinfectionschallengingconditiontodiagnoseandtreatanoverviewof70cases
_version_	1718377710196097024

CHRONIC BREAST INFECTIONS: CHALLENGING CONDITION TO DIAGNOSE AND TREAT; AN OVERVIEW OF 70 CASES

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