Tuberculosis of the breast: an uncommon presentation of an old disease

• Type: Article in International Scientific Journal
• Date: 2019

Authors

Galego, MA (Author) Other; Lage, G (Author) Other; Shekhovtsova, M (Author) Other; Duarte R (Author) Other

Journal

Title: BMJ Case Reports

Vol. 12

ISSN: 1757-790X

Publisher: BMJ PUBLISHING GROUP

Indexing

Scopus - 3 Citations

Other information

Authenticus ID: P-00Q-995

DOI: 10.1136/bcr-2018-227014

Abstract (EN): Breast tuberculosis (TB) is considered an uncommon disease with an estimated incidence of 0.1% of all breast lesions reported in developed countries. A 53-year-old Caucasian woman, with a medical history of Crohn's disease, previously treated with infliximab for 3¿months suspended due to a presumptive diagnosis of TB for which antitubercular regimen was started. Five months after, a painful lump in the left breast was identified by the patient. Mammary ultrasound confirmed left breast nodules and axillary adenopathies. Histology and microbiology of both lesions confirmed breast TB. Molecular drug susceptibility testing in both samples revealed no resistance to first line anti-TB drugs and the regimen was maintained for 1¿year, with clinical and radiological improvement. Mammary gland involvement usually results from lymphatic extension and differential diagnosis frequently includes breast cancer or bacterial abscess. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Language: English

Type (Professor's evaluation): Scientific