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      Infección de prótesis mamaria por Haemophilus influenzae Translated title: Breast implant infection by Haemophilus influenzae

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          Abstract

          Resumen Presentamos el caso de una paciente con un implante de mama tras reconstrucción mamaria posmastectomía que tiene una infección de la prótesis por Haemophilus influenzae. Acudió a nuestro centro, de urgencia, por infección aguda del implante que obligó a la retirada del mismo. Como antecedente refería infección de vías respiratorias altas resuelta 15 días antes. Hasta donde hemos podido comprobar en la literatura, este es el primer caso descrito de infección de prótesis de mama por Haemophilus influenzae.

          Translated abstract

          Abstract We present the case of a patient with breast implant for mammary reconstruction after mastectomy, that shows implant infection caused by Haemophilus influenzae. Patient came to our hospital with an acute mammary implant infection that was removed. She only referred a respiratory infection 15 days before. We haven´t found nowadays a previous case of breast implant infection associated to Haemophilus influenzae.

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          Most cited references12

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          The breast: a clean-contaminated surgical site.

          Capsular contracture is one of the most common complications associated with breast implants. While the cause of this process has not yet been elucidated, subclinical infection is a likely culprit. The authors assess the hypothesis that a probable source of contamination is endogenous breast bacteria, likely originating in the ducts themselves and most concentrated near the nipple. Twenty-five healthy patients presenting for routine reduction mammaplasty were recruited as study participants. Tissue samples were taken intraoperatively from the periareolar, inframammary, and axillary regions of each sampled breast. Specimens were then processed in the microbiology laboratory, and quantitative bacterial counts were obtained. Of the 50 breasts sampled, 19 yielded positive culture results, for a rate of 38%. There was a significant difference in the positive culture rate among all three sites, with increasing quantitative bacterial counts in the axillary, inframammary, and periareolar regions, respectively. The most commonly-identified organisms in this study included various species of Staphylococcus and Propionibacterium acnes, with S. epidermidis being the most common. The breast harbors significant endogenous bacteria that can become the source of spontaneous or postoperative infection. Positive intraoperative cultures with high quantitative counts suggest that breast tissue harbors more bacteria than normal skin flora. Routine perioperative antibiotic prophylaxis may be suboptimal for the prevention of foreign body seeding in this setting. Furthermore, bacterial concentrations are highest in areas with the most ductal tissue, namely the periareolar region. These findings may be helpful when considering which incision site to select for augmentation mammaplasty.
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            Infection in breast implants

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              The microbial epidemiology of breast implant infections in a regional referral centre for plastic and reconstructive surgery in the south of France.

              Breast implant infections are usually caused by Staphylococcus aureus and coagulase-negative staphylococci. Gram-negative bacilli are rarely reported to be involved in breast implant infections.
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                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                March 2021
                : 47
                : 1
                : 59-62
                Affiliations
                [1] Madrid orgnameHospital Universitario de La Princesa orgdiv1Unidad de Cirugía Plástica y Servicio de Cirugía General España
                [2] Madrid orgnameHospital Universitario de La Princesa orgdiv1Unidad de Cirugía Plástica y Servicio de Cirugía General España
                Article
                S0376-78922021000100059 S0376-7892(21)04700100059
                10.4321/s0376-78922021000100008
                3e0f3cf1-3444-428d-9899-71dcf0e4f75d

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 28 January 2021
                : 15 February 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 4
                Product

                SciELO Spain

                Categories
                Cirugía Mamaria

                Breast prosthesis,Breast implant,Mammary implant infection,Breast implant infection,Haemophilus influenzae,Prótesis mamaria,Implante mamario,Infección implante mamario,Infección prótesis mamaria

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