All kinds of nasty infections from Breast Implants....YUK ! ! !

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1: Aesthetic Plast Surg. 1998 May-Jun;22(3):222-4.Links

Late Klebsiella pneumoniae infection following breast augmentation: case report.

Bernardi C, Saccomanno F.

Villa Massimo Medical Center, Rome, Italy.

A case is reported of late infection in a breast implant, in a 35-year-old female who underwent breast augmentation with a double-lumen silicone prosthesis combined with abdominoplasty. After 8 uneventful postoperative months, untoward and poorly defined symptoms occurred and further exploratory surgery became necessary. Due to a subacute inflammatory process in the entire pocket of the left breast, the implants were removed. Culture demonstrated Klebsiella pneumoniae. After complete healing, a pair of texturized moderate profile implants was placed above the muscle through an areolar access. The clinical history and management of this unusual case are described.

PMID: 9618189 [PubMed - indexed for MEDLINE]

Late Klebsiella pneumoniae infection following bre...[Aesthetic Plast Surg. 1998 May-Jun] - PubMed Result

1: Singapore Med J. 2007 Mar;48(3):256-8. Links

Delayed fungal infection following augmentation mammoplasty in an immunocompetent host.

Tian HH, Tan SM, Tay KH.

Department of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889. roger_tian@... report an unusual case of infection of a breast implant with Trichosporon spp. in an immunocompetent host. There has only been one other reported case in the published literature. The patient was a healthy 27-year-old woman who presented with pain and swelling 17 months after augmentation mammoplasty with a saline implant. Ultrasound-guided aspiration of the effusion surrounding the implant yielded Trichosporon spp. on culture. Oral therapy with fluconazole was commenced, and the implant was salvaged. The nature of this fungi, its mode of transmission and treatment are reviewed. The implications and management of implant infections are also discussed. Physicians should be aware that infection may be delayed, and cultures should be performed for aerobic and anaerobic organisms as well as acid-fast bacilli and fungi. Prompt and appropriate antimicrobial treatment may arrest the infection, sparing the patient the morbidity of a surgical drainage or implant removal.

PMID: 17342297 [PubMed - indexed for MEDLINE]

Delayed fungal infection following augmentation ma...[singapore Med J. 2007] - PubMed Result

1: Scand J Infect Dis. 2002;34(2):143-4.Links

Breast implant infection caused by Trichosporon beigelii.

Reddy BT, HA, Kontoyiannis DP.

Department of Infections Diseases, The University of Texas M.D. Cancer Center, Houston 77030, USA.

We describe herein an immunocompetent patient who developed a breast implant infection caused by Trichosporon beigelii. To our knowledge, this is the first reported case of such an infection.

PMID: 11928852 [PubMed - indexed for MEDLINE]

Breast implant infection caused by Trichosporon be...[scand J Infect Dis. 2002] - PubMed Result

1: Ann Plast Surg. 2000 Mar;44(3):330-3.Links

A prosthetic breast implant infected with Mycobacterium fortuitum.

Heistein JB, Mangino JE, Ruberg RL, Bergese JJ.

Division of Plastic Surgery, Ohio State University, Columbus 43210, USA.Augmentation mammaplasty is a common operation performed in the United States. Postoperative wound infections are rare, but can be devastating. Most often, bacteria from the normal skin flora cause these infections, but more atypical organisms can lead to similar situations. The authors present a case of a prosthetic breast implant infected with Mycobacterium fortuitum after augmentation mammaplasty. The patient, diagnosis, and treatment are discussed so that others may recognize and treat this entity successfully before encountering major complications. Although it is an infrequent occurrence, plastic surgeons, infectious disease specialists, and primary care doctors who may see postoperative wound infections should be aware of this potential pathogen. It is important in any postimplant infection and especially crucial in cases of unresolving or recurrent infections with unusual or even clear drainage. With proper identification through acid-fast smear and culture, multiagent therapy can be initiated early. Additional complications, including implant removal, may thus be avoided.PMID: 10735228 [PubMed - indexed for MEDLINE]

A prosthetic breast implant infected with Mycobact...[Ann Plast Surg. 2000] - PubMed Result

1: J Infect Dis. 1983 Mar;147(3):427-33.Links

Infection due to organisms of the Mycobacterium fortuitum complex after augmentation mammaplasty: clinical and epidemiologic features.

Clegg HW, MT, WE Jr, Baine WB.

Periprosthetic infections due to Mycobacterium fortuitum and Mycobacterium chelonei occurred in 17 women over a 3.5-year period after implantation of prostheses for breast augmentation. The median incubation period for 16 of the women was 28 days (range, one week to over two years) after surgery; etiologic diagnosis was usually delayed for weeks to months. Odorless and serosanguineous or purulent material was found when the implants were removed, and acid-fast bacilli were often present when smears were examined. Wound infections were chronic and refractory to therapy with various antimicrobial agents. Persistent or recurrent mycobacterial infections complicated attempts to implant new prostheses. Whereas M. fortuitum isolates were susceptible to amikacin, multiple strains of M. fortuitum were distinguished by conventional antituberculous and broth microdilution susceptibility tests. Several clusters of infections were temporally and geographically related; however, sporadic cases were also reported, and no evidence of a contaminated common product or other single source of infection was found.PMID: 6833792 [PubMed - indexed for MEDLINE]

Infection due to organisms of the Mycobacterium fo...[J Infect Dis. 1983] - PubMed Result

1: Plast Reconstr Surg. 2007 Sep;120(3):581-9. Links

The infected breast prosthesis after mastectomy reconstruction: successful salvage of nine implants in eight consecutive patients.

Chun JK, Schulman MR.

Division of Plastic and Reconstructive Surgery, Mount Sinai Medical Center, New York, NY 10029-6574, USA. jin.chun@...: The use of tissue expanders and permanent implants has an established role in breast reconstruction after mastectomy. Periprosthetic infection, however, represents a known complication. The most conservative approach to severe or recalcitrant prosthetic infection remains removal of the device. However, removal makes subsequent reinsertion and reexpansion more difficult, with less predictable cosmetic results. The authors believe that timely surgical intervention directed toward salvage of infected breast prostheses can be successful, without demonstrating increased capsular contracture. METHODS: The authors present nine consecutive cases of infected breast implants (nine implants in eight patients). All patients had previously undergone mastectomy for malignancy and immediate expander/implant reconstruction. Six patients had localized infections that failed to respond to oral antibiotics and two women initially presented with systemic infection. All patients were placed on intravenous antibiotics followed by drainage of fluid, manual debridement and curettage of the infected pocket, device exchange, and postoperative antibiotics. RESULTS: All nine infected breast prostheses responded to this approach and currently remain intact and without recurrent infection. Mean time to follow-up for all patients was 14.6 months (range, 10 to 25 months). CONCLUSIONS: In patients with severely infected breast prostheses, timely operative intervention can salvage the previously "unsalvageable" implant; in addition, the surgically replaced implants did not develop severe capsular contractures. Surgical salvage of severely infected breast prostheses after mastectomy is a treatment option that should be considered when dealing with severe or recalcitrant infection in a suitable patient.

PMID: 17700107 [PubMed - indexed for MEDLINE]

The infected breast prosthesis after mastectomy re...[Plast Reconstr Surg. 2007] - PubMed Result

1: Plast Reconstr Surg. 2003 Aug;112(2):467-76. Links

Infectious complications following breast reconstruction with expanders and implants.

Nahabedian MY, Tsangaris T, Momen B, Manson PN.

Department of Surgery, s Hopkins Medical Institutions, Baltimore, land 21287, USA. mnahabed@... incidence of infection following breast reconstruction with expanders and implants ranges from 1 to 24 percent. Numerous factors associated with infection have been described; however, a one-variable at time setting and multifactorial analysis have not been performed. The purpose of this study was to analyze a set of factors that may predispose women to infection of the expander or implant. Between 1997 and 2000, a total of 168 implant reconstructions were performed in 130 women at a single institution. The mean age for all women was 48.2 years (range, 25 to 77 years). The factors that were analyzed included axillary lymph node dissection, chemotherapy, radiation therapy, tumor stage, timing of implant insertion, number of sides (unilateral versus bilateral), tobacco use, and presence or absence of diabetes mellitus. Statistical analysis was performed with stepwise logistic regression. Mean time to follow-up for all patients was 29 months (range, 12 to 47 months). Infectious complications occurred in 10 women (7.7 percent) and in 10 expanders or implants (5.9 percent). Infected implants were removed an average of 116 days following insertion (range, 14 to 333 days). Cultured bacteria included Staphylococcus aureus and Serratia marcescens. A significant association (p < 0.04) was detected between implant infection and radiation therapy. The chance for implant infection was 4.88 times greater for implants that were exposed to radiation therapy compared with those that were not. In addition, there was suggestive (p < 0.09) evidence that the chance of implant infection following lymph node dissection was 6.29 times higher than when no lymph nodes were removed. No significant association between implant infection and age, diabetes, tobacco use, tumor stage, timing of implant insertion, or chemotherapy was found

..PMID: 12900604 [PubMed - indexed for MEDLINE]

Infectious complications following breast reconstr...[Plast Reconstr Surg. 2003] - PubMed Result

All literature from the Medical Field says not to use implants in people with cancer....so why are they doing it? They KNOW it will cause problems but I guess, they know that implants are toxic and lethal for most all people...

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