NECROTIZING FASCIITIS OF BREAST IN POSTPARTUM PERIOD
CASE REPORT
Keywords:
Necrotizing fasciitis, breast diseases, mastitis, lactation disordersAbstract
Necrotizing fasciitis is an aggressive infection that affects subcutaneous and superficial fascia by necrosis, more often found in the abdominal wall, perineum and extremities. Rare cases have been described in the breast and the literature points to breastfeeding and previous breast procedures as risk factors for this condition. We present a 27-year-old patient in postpartum period who presented a right nipple fissure associated to breastfeeding, that evolved to a local aggressive infection with extensive necrosis of fascia and mammary parenchyma characterized as necrotizing fasciitis. Our aim is to highlight the importance of early diagnosis, especially to differentiate from puerperal mastitis which has a different pathophysiology and treatment, as well as the need for appropriate therapy consisting of surgical debridement and broad spectrum antibiotics in order to avoid further complications and death.
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Copyright (c) 2018 Gisele do Couto Maldonado, Daniel Meirelles Barbalho, Fernanda Cristina Afonso Salum, Melissa Iole da Cás Vita, Romulo Fassio Belem, Maria de Fátima Brito Vogt
This work is licensed under a Creative Commons Attribution 4.0 International License.
