Title: Neglected Cases of Breast Abscess
Authors: Dr Amit Kumar Gupta, Dr Khwaja Nasim Ahmad (Asso-Prof), Dr A.J. Malik (Prof), Dr Sukesh Kumar, Dr Saumya Sinha
SIXTY EIGHT cases of severe breast infection are presented. The first patient was admitted with a gangrenous left breast and was in septic shock. She died soon after admission. The another case had bilateral breast abscesses and was toxic. She also died after treatment with antibiotics and multiple debridments. The SIXTY SIX patient with bilateral severe breast infection had right mastectomy. She made a rapid improvement. It is proposed that mastectomy may be a reasonable option for management of advanced or neglected breast infection or necrotising fasciitis of the breast.
Advanced sepsis forms a major component in the pattern of diseases seen in the Department of Surgery, Katihar Medical College, Katihar. Infections such as extensive streptococcal cellulitis, necrotising fasciitis and pyomyositis are common'. Moreover neglected advanced sepsis appears to be on the increase, usually because of inadequate primary treatment and delayed presentation to hospital due to financial and transport constraints. Of late the same pattern of neglected sepsis has been noted in breast infections. This paper had 100 such cases in which three cases are described.