Fw: My experience with late infection of breast implant

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From: " by way of ilena rose " <HGloryann@...>

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Sent: Friday, February 15, 2002 1:48 PM

Subject: My experience with late infection of breast implant

I developed the same infection " bacteroides fragilis " in 1997 after I had a

hysterectomy and (hernia repair due to the Tramflap). They thought they

were going to have to cut me open and heal from the inside out, but luckily

the massive antibiotics worked. It landed me in the hospital for another

week after I was discharged for the hysterectomy. It takes about 4/5 days

to grow a culture to identify this strain of bacteria. My implants were

removed in 1994, but still have residual from the rupture & capsules. The

doctors/surgeons at Mayo were baffled..even called in the infectious

disease team! Interesting....... :)Gloria

~~~ It may be far more common than reported here ~~~ Title [Late

infection of breast implant, complication of colonic perforation. Review of

the literature. Role of preventive treatment] Author/s F Petit, D Maladry,

J R Werther Source ANNALES DE CHIRURGIE PLASTIQUE ET ESTHETIQUE ,ÝÝ

43(5):559-562 1998 Abstract The authors report a cases of breast implant

infection, 40 years after augmentation mammoplasty. The infection

developed 6 weeks after colonoscopy complicated by acute peritonitis due to

colonic perforation. Bacteroides fragilis, a usual organism of the

gastrointestinal tract flora, was identified in the two septic sites

(peritoneal and periprosthetic). Contamination of the implant was

haematogenous in a context of bacteraemia. Other authors have already

suspected this route of contamination without any bacteriological proof.

The risk of infection of breast implants is known, but the late infection

rate is poorly documented. It is probably very low in view of the rare

cases reported in the literature. Breast implants are not at high risk of

sepsis, in contrast with prosthetic heart valves. The authors therefore do

not recommend any particular preventive treatment in the case of distant

infection or dental treatment. Women with breast implants must be informed

and reassured: late infection of their implant is possible, but very

unlikely. Recognition and prevention of this risk could be based on better

long-term follow-up of breast implants. ISSN 02941260 Publisher