Lupine Publishers - Journal of Surgery

Breast Abscesses: Recent Concepts in The Etiology,Diagnosis and Treatment by Abhishek Singh Nayyar in Surgery & Case Studies Open Access Journal in Lupinepublishers

Breast infections may arise de novo or, may occur secondary to mastitis and/or, a lesion in the skin. The commoner clinical findings consist of a tender, hard breast mass with erythema of the overlying skin. Needle aspiration yields pus, cultures, of which yield the infecting microorganisms. In practice, treatment is usually empiric consisting of bed rest, frequent nursing, fluids, acetaminophen for pain and fever and a course of antibiotics. The other common line of treatment for breast abscess consists of incision and drainage with primary and/or, secondary closure. This brief communication on breast abscess gives an overview of the possible etiologies, clinical signs and symptoms and the treatment lines for breast abscess. Breast infections are occasionally seen in neonates but most commonly affect women aged between 18 and 50 years and are categorized as lactational and non-lactational infections. Most breast abscesses develop as a complication of lactational mastitis. The incidence of breast abscess ranges from 0.4 to 11 % of all lactating mothers [1]. Risk factors for lactational breast abscess formation include the first pregnancy at maternal age over 30 years, pregnancy more than 41 weeks of gestation and mastitis [2,3]. It is relatively common for lactating women to develop a breast abscess as a complication of mastitis [1,4]. Non-lactational abscesses can be classified as central, peripheral or, the skin associated. Patients presenting with non-lactational abscesses are more likely to develop recurrent infections, especially, in a state of diabetes mellitus. Central (periareolar) non-lactational abscesses are usually due to periductal mastitis [5]. The infection can affect the skin overlying the breast when it can be a primary event or, it may occur secondary to mastitis and/or, secondary to a lesion in the skin [6-8].

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