DOI: http://dx.doi.org/10.18203/2349-2902.isj20214384

A case series on necrotising fasciitis of breast: a rare but debilitating disease

S. P. Gayathre, Kudiyarasu M., Bala Brindha S., R. Kannan

Abstract


Necrotising fasciitis of breast being a rare disease has only a meagre number of cases being reported and most commonly seen following trauma or surgical procedure to the breast. The reported cases have shown a predilection for lactating mothers with a history of surgical intervention to breast. This case series included 3 cases of necrotising fasciitis with varied etiologies in various age groups including a lactating mother, an immunocompromised patient and another patient with no other risk factor such as trauma or surgical intervention to breast and the subsequent difference in extent of surgical intervention and management in these patients. Extensive surgical debridement at the earliest was the mainstay of treatment in all three cases.


Keywords


Necrotising fasciitis, Breast, Lactating, Non-lactating, Immunocompromised

Full Text:

PDF

References


Shareef ALB, Nourah ALS. Necrotizing fasciitis of the breast: case report with literature review. Case Rep Surg. 2018;2018:1370680.

Fayman K. A case report of primary necrotising fasciitis of the breast: a rare but deadly entity requiring rapid surgical management. Int J Surg Case Rep. 2017;31:221-4.

Konik RD, Cash AD, Huang GS. Necrotizing Fasciitis of the breast managed by partial mastectomy and local tissue rearrangement. Case Reports Plast Surg Hand Surg. 2017;4(1):77-80.

Ward ND, Harris JW, Sloan DA. Necrotizing Fasciitis of the breast requiring emergent radical mastectomy. Breast J. 2017;23(1):95-9.

Shah J, Sharma AK, O'Donoghue JM, Mearns B, Johri A, Thomas V. Necrotising fasciitis of the breast. Br J Plast Surg. 2001;54(1):67-8.

Flandrin A, Rouleau C, Azar CC, Dubon O, Giacalone PL. First report of necrotizing fasciitis of breast following a core needle biopsy. Breast J. 2009;15(2):199-201.

Lee JH, Lim YS, Kim NG, Lee KS, Kim JS. Primary necrotizing fasciitis of the breast in an untreated patient with diabetes. Arch Plast Surg. 2016;43(6):613-4.

Pek CH, Lim J, Ng HW, Lee HJ, Ong WC, Foo ARL, et al. Extensive necrotizing fasciitis after fat grafting for bilateral breast augmentation: recommended approach and management. Arch Plast Surg. 2015;42(3):365-7.

Vishwanath G, Basarkod SI. Necrotising fasciitis of the breast with shock and postpartum psychosis. J Clinic Diagn Res. 2011;5:1117-9.

Venkatramani V, Pillai S, Marathe S. Breast gangrene in an HIV positive patient. Ann Royal Coll Surg Engl. 2009;91(5):13-4.