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A Breast Abscess: An Unusual Manifestation of Coccidioidomycosis?

Crum-Cianflone, Nancy F. MD, MPH*; Haddad, Fadi A. MD; Sakoulas, George MD‡§

Infectious Diseases in Clinical Practice: July 2013 - Volume 21 - Issue 4 - p 263–264
doi: 10.1097/IPC.0b013e31826e7f99
Case Reports

We present an unusual case of a suppurative breast abscess in an immunocompetent woman probably due to a Coccidioides species. Coccidioidomycosis should be considered in the differential diagnosis of atypical abscesses, including those involving the breast, especially in cases of poor clinical response to antibiotics and/or among persons of certain ethnicities with exposure to an endemic area.

From the *Division of Infectious Diseases, Naval Medical Center San Diego, San Diego, CA; †Sharp Grossmont Hospital, La Mesa, CA; ‡Sharp Memorial Hospital, San Diego, CA; and §Department of Pediatrics, University of California San Diego School of Medicine, La Jolla, CA.

Correspondence to: Nancy Crum-Cianflone, MD, MPH, c/o Clinical Investigation Department (KCA), Naval Medical Center San Diego, 34800 Bob Wilson Dr, Ste 5, San Diego, CA 92134-1005. E-mail:

The authors have no funding or conflicts of interest to disclose.

All authors contributed to the content of the manuscript and concurred with the decision to submit it for publication. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, the Department of Defense, or the US Government.

© 2013 by Lippincott Williams & Wilkins.