Granulomatous mastitis caused by Rickettsia species
Granulomatous mastitis is a rare inflammatory disease of varying etiology. Tuberculosis and cystic neutrophilic granulomatous mastitis caused by Corynebacterium are the best-established infectious examples. Despite the increasing incidence of Rickettsia -related diseases worldwide, granulomatous inf...
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| Veröffentlicht in: | Virchows Archiv : an international journal of pathology 2021-12, Vol.479 (6), p.1091-1094 |
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| creator | Bauer, Annette Hofmeyer, Syster Gere, Maria Nilsson, Kenneth Tot, Tibor |
| description | Granulomatous mastitis is a rare inflammatory disease of varying etiology. Tuberculosis and cystic neutrophilic granulomatous mastitis caused by
Corynebacterium
are the best-established infectious examples. Despite the increasing incidence of
Rickettsia
-related diseases worldwide, granulomatous inflammation of breast parenchyma caused by
Rickettsia
has not yet been reported. We present a unique case of bilateral granulomatous mastitis documented with mammography, magnetic resonance imaging and core-needle biopsy. The rickettsial etiology of the disease was proved with specific immunohistochemistry and confirmed with DNA extraction, PCR and serology. The lesions completely resolved after a full-course tetracycline treatment. This case report widens the knowledge about the possible clinical manifestations of
Rickettsia
infection and adds a new bacterium to the list of etiological factors causing granulomatous mastitis. |
| doi_str_mv | 10.1007/s00428-021-03098-2 |
| format | Article |
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Corynebacterium
are the best-established infectious examples. Despite the increasing incidence of
Rickettsia
-related diseases worldwide, granulomatous inflammation of breast parenchyma caused by
Rickettsia
has not yet been reported. We present a unique case of bilateral granulomatous mastitis documented with mammography, magnetic resonance imaging and core-needle biopsy. The rickettsial etiology of the disease was proved with specific immunohistochemistry and confirmed with DNA extraction, PCR and serology. The lesions completely resolved after a full-course tetracycline treatment. This case report widens the knowledge about the possible clinical manifestations of
Rickettsia
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Corynebacterium
are the best-established infectious examples. Despite the increasing incidence of
Rickettsia
-related diseases worldwide, granulomatous inflammation of breast parenchyma caused by
Rickettsia
has not yet been reported. We present a unique case of bilateral granulomatous mastitis documented with mammography, magnetic resonance imaging and core-needle biopsy. The rickettsial etiology of the disease was proved with specific immunohistochemistry and confirmed with DNA extraction, PCR and serology. The lesions completely resolved after a full-course tetracycline treatment. This case report widens the knowledge about the possible clinical manifestations of
Rickettsia
infection and adds a new bacterium to the list of etiological factors causing granulomatous mastitis.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Antigens</subject><subject>Arachnids</subject><subject>Bacteria</subject><subject>Bacterial infections</subject><subject>Bacteriological Techniques</subject><subject>Biopsy</subject><subject>Biopsy, Large-Core Needle</subject><subject>Breast</subject><subject>Breasts</subject><subject>Brief Report</subject><subject>Connective tissue</subject><subject>Disease</subject><subject>Etiology</subject><subject>Female</subject><subject>Fever</subject><subject>Granulomas</subject><subject>Granulomatosis</subject><subject>Granulomatous Mastitis - diagnosis</subject><subject>Granulomatous Mastitis - drug therapy</subject><subject>Granulomatous Mastitis - microbiology</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Inflammatory diseases</subject><subject>Leukocytes (neutrophilic)</subject><subject>Life Sciences & Biomedicine</subject><subject>Magnetic Resonance Imaging</subject><subject>Mammography</subject><subject>Mastitis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neutrophils</subject><subject>Parenchyma</subject><subject>Pathology</subject><subject>Rare species</subject><subject>Remission (Medicine)</subject><subject>Rickettsia</subject><subject>Rickettsia - 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Tuberculosis and cystic neutrophilic granulomatous mastitis caused by
Corynebacterium
are the best-established infectious examples. Despite the increasing incidence of
Rickettsia
-related diseases worldwide, granulomatous inflammation of breast parenchyma caused by
Rickettsia
has not yet been reported. We present a unique case of bilateral granulomatous mastitis documented with mammography, magnetic resonance imaging and core-needle biopsy. The rickettsial etiology of the disease was proved with specific immunohistochemistry and confirmed with DNA extraction, PCR and serology. The lesions completely resolved after a full-course tetracycline treatment. This case report widens the knowledge about the possible clinical manifestations of
Rickettsia
infection and adds a new bacterium to the list of etiological factors causing granulomatous mastitis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33851237</pmid><doi>10.1007/s00428-021-03098-2</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-8479-0115</orcidid><orcidid>https://orcid.org/0000-0002-0093-5725</orcidid></addata></record> |
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| ispartof | Virchows Archiv : an international journal of pathology, 2021-12, Vol.479 (6), p.1091-1094 |
| issn | 0945-6317 1432-2307 1432-2307 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /> |
| subjects | Anti-Bacterial Agents - therapeutic use Antibiotics Antigens Arachnids Bacteria Bacterial infections Bacteriological Techniques Biopsy Biopsy, Large-Core Needle Breast Breasts Brief Report Connective tissue Disease Etiology Female Fever Granulomas Granulomatosis Granulomatous Mastitis - diagnosis Granulomatous Mastitis - drug therapy Granulomatous Mastitis - microbiology Humans Immunohistochemistry Infections Inflammation Inflammatory diseases Leukocytes (neutrophilic) Life Sciences & Biomedicine Magnetic Resonance Imaging Mammography Mastitis Medicine Medicine & Public Health Middle Aged Neutrophils Parenchyma Pathology Rare species Remission (Medicine) Rickettsia Rickettsia - drug effects Rickettsia - pathogenicity Rickettsia Infections - complications Rickettsia Infections - diagnosis Rickettsia Infections - drug therapy Rickettsia Infections - microbiology Rickettsia species Science & Technology Serology Tetracycline - therapeutic use Treatment Outcome Tuberculosis Typhus |
| title | Granulomatous mastitis caused by Rickettsia species |
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