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Periprosthetic Breast Abscess Caused by Streptococcus pyogenes After Scarlet Fever

Persichetti, Paolo PhD; Langella, Marika MD; Marangi, Giovanni Francesco MD; Vulcano, Ettore MS; Gherardi, Giovanni MD; Dicuonzo, Giordano MD, PhD

doi: 10.1097/SAP.0b013e31804636cf
Case Report

We present a case of a 32-year-old white women, affected by breast cancer and treated with mastectomy, who underwent immediate breast reconstruction with a tissue expander. She presented a periprosthetic infection from Streptococcus pyogenes (group A streptococcus, GAS) after scarlet fever. S. pyogenes may be responsible for suppurative complications of the respiratory system and a variety of metastatic foci of infection such as suppurative arthritic, endocarditis, meningitis, or brain abscess. Even though, in the literature, several cases and types of infection associated with breast implantation have been described, to our knowledge this is the first case report of periprosthetic infection after scarlet fever. Signs, symptoms, diagnosis, and treatment of GAS infection that occurred 2 months after the surgery are discussed.

From the Campus Bio-Medico di Roma University, Rome, Italy.

Received January 8, 2007, and accepted for publication, after revision February 6, 2007.

Reprints: Paolo Persichetti, MD, PhD, via Álvaro del Portillo, 21-00128 Roma. E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.