While erythema nodosum is a nodular, erythematous eruption predominantly affecting the extensor aspects of the legs, breast abscesses are the result of relatively common bacterial infections, and only 2 studies have r...While erythema nodosum is a nodular, erythematous eruption predominantly affecting the extensor aspects of the legs, breast abscesses are the result of relatively common bacterial infections, and only 2 studies have reported an association between erythema nodosum and breast abscesses. Here, we report the case of a patient with repeated erythema nodosum associated with subareolar abscesses. The patient was a 34-year-old woman with painful erythematous nodules on her right shin, accompanied by an indurated lesion on her right breast 4 days before the onset of the nodules. Therefore, the patient underwent circumareolar incision, and consequently the painful erythematous nodules disappeared. However, after 39 days, the patient developed another tender, painful lesion in her right breast and painful erythematous nodules on her right shin. After another circumareolar incision, the painful erythematous nodules disappeared again. Therefore, we suggested a significant association between erythema nodosum and breast abscess in this patient. The most common underlying causative organism in breast abscess is Staphylococcus aureus;however, erythema nodosum has rarely been proven to be associated with staphylococcal infections. Therefore, the relationship between S. aureus and erythema nodosum is rather controversial. However, the resistance to the usual treatment methods and prolonged clinical course in our case suggest that the pathogenesis of erythema nodosum associated with breast abscesses might be different from that of the common form of erythema nodosum.展开更多
Gynecomastia is a common finding in male patients, however, abscess is a rare finding in male patients. Typical management for benign gynecomastia is to continued surveillance and no additional annual imaging is requi...Gynecomastia is a common finding in male patients, however, abscess is a rare finding in male patients. Typical management for benign gynecomastia is to continued surveillance and no additional annual imaging is required [1]. Breast abscess in male is managed with incision and drainage and antibiotics [2], however, the management of gynecomastia superimposed with recurrent ab-scess does not have clear management and should be managed on an indi-vidual basis. We present a case of a 44-year-old man who with a recurrent left breast abscess in addition to persistent gynecomastia. The abscess was drained and cultured. The culture grew Citrobacter koseri(diversus) and patient was placed on Bactrim DS for 7 days and was referred to the breast clinic for fur-ther evaluation. This study aims to elucidate and review the literature to iden-tify similar cases and potential management of male patients with recurrent abscess and gynecomastia.展开更多
文摘While erythema nodosum is a nodular, erythematous eruption predominantly affecting the extensor aspects of the legs, breast abscesses are the result of relatively common bacterial infections, and only 2 studies have reported an association between erythema nodosum and breast abscesses. Here, we report the case of a patient with repeated erythema nodosum associated with subareolar abscesses. The patient was a 34-year-old woman with painful erythematous nodules on her right shin, accompanied by an indurated lesion on her right breast 4 days before the onset of the nodules. Therefore, the patient underwent circumareolar incision, and consequently the painful erythematous nodules disappeared. However, after 39 days, the patient developed another tender, painful lesion in her right breast and painful erythematous nodules on her right shin. After another circumareolar incision, the painful erythematous nodules disappeared again. Therefore, we suggested a significant association between erythema nodosum and breast abscess in this patient. The most common underlying causative organism in breast abscess is Staphylococcus aureus;however, erythema nodosum has rarely been proven to be associated with staphylococcal infections. Therefore, the relationship between S. aureus and erythema nodosum is rather controversial. However, the resistance to the usual treatment methods and prolonged clinical course in our case suggest that the pathogenesis of erythema nodosum associated with breast abscesses might be different from that of the common form of erythema nodosum.
文摘Gynecomastia is a common finding in male patients, however, abscess is a rare finding in male patients. Typical management for benign gynecomastia is to continued surveillance and no additional annual imaging is required [1]. Breast abscess in male is managed with incision and drainage and antibiotics [2], however, the management of gynecomastia superimposed with recurrent ab-scess does not have clear management and should be managed on an indi-vidual basis. We present a case of a 44-year-old man who with a recurrent left breast abscess in addition to persistent gynecomastia. The abscess was drained and cultured. The culture grew Citrobacter koseri(diversus) and patient was placed on Bactrim DS for 7 days and was referred to the breast clinic for fur-ther evaluation. This study aims to elucidate and review the literature to iden-tify similar cases and potential management of male patients with recurrent abscess and gynecomastia.
