Infected breast cyst due to Prevotella buccae resistant to metronidazole

Anaerobe. 2017 Dec:48:177-178. doi: 10.1016/j.anaerobe.2017.08.015. Epub 2017 Sep 1.

Abstract

Prevotella buccae is a Gram-negative anaerobic rod involved in some human infections. We report the first case of an infected breast cyst in a non-puerperal women due to this pathogen. A 53-year-old woman presented with pain and a cystic lesion in the right breast. Culture of abscess drainage resulted in isolation of P. buccae. High level of resistance to metronidazole was documented. Treatment with drainage and amoxicillin-clavulanate was established, and improvement of this infection was observed.

Keywords: Anaerobe; Antimicrobials; Breast abscess; Drainage; P. buccae.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis
  • Abscess / microbiology
  • Abscess / therapy
  • Bacteroidaceae Infections / diagnosis
  • Bacteroidaceae Infections / microbiology*
  • Bacteroidaceae Infections / therapy
  • Breast Cyst / microbiology*
  • Breast Cyst / pathology
  • Combined Modality Therapy
  • Drainage
  • Drug Resistance, Bacterial*
  • Female
  • Humans
  • Mass Spectrometry
  • Mastitis / diagnosis
  • Mastitis / microbiology*
  • Mastitis / therapy
  • Metronidazole / pharmacology*
  • Metronidazole / therapeutic use
  • Microbial Sensitivity Tests
  • Middle Aged
  • Prevotella / drug effects*
  • Treatment Outcome

Substances

  • Metronidazole