Sebase kist zemininde gelişen meme absesinde izole edilen nadir bir bakteri: Gleimia europaea

Yıl 2025, Cilt: 7 Sayı: 1, 1 - 5, 30.06.2025

Hatice Erdal , Hale Koç , Adem Şentürk , Madina Jamolzoda , Tayfur Demiray , Mehmet Köroğlu

https://doi.org/10.71051/jnlm.1700644

Öz

Önceden var olan bir sebase kist üzerinde gelişen meme apsesi son derece nadirdir. Actinomyces türleri, meme apselerinde primer patojen olarak nadiren izole edilir. İnsan kommensal florasının bir parçası olan bu bakteriler, genellikle granülomatöz ve yavaş ilerleyen bir klinik seyirle ortaya çıkan fırsatçı kronik enfeksiyonlara neden olabilir. Gleimia europaea (eski adıyla Actinomyces europaeus), aktinomikozun nadir görülen etkenlerinden biri olup klinik enfeksiyonlarda oldukça seyrek bildirilmiştir. Bu olgu sunumunda, önceden var olan bir sebase kist zemininde gelişen G. europaea kaynaklı nadir bir meme apsesi vakası irdelenmektedir.

Anahtar Kelimeler

Actinomyces spp. , Gleimia europaea , Meme absesi , Sebase kist

A rare bacterium isolated from a breast abscess on sebaceous cyst: Gleimia europaea

Öz

Breast abscesses developing on pre-existing sebaceous cysts are exceptionally rare. Actinomyces species are infrequently isolated as primary pathogens in breast abscesses. As part of the human commensal flora, these bacteria can cause opportunistic chronic infections, often presenting with a granulomatous and slowly progressive clinical course. Gleimia europaea (formerly Actinomyces europaeus), a rare causative agent of actinomycosis, has been infrequently reported in clinical infections. In this case report, we discuss an unusual instance of a breast abscess caused by G. europaea, arising in the background of a pre-existing sebaceous cyst.

Anahtar Kelimeler

Actinomyces spp. , Breast Abscesses , Gleimia europaea , Sebaceous Cyst

Kaynakça

• Allen N, James G, Jain Y. A rare case of abdominal wall necrotizing fasciitis caused by Actinomyces europaeus-a novel pathogen. J Surg Case Rep. 2021;12:rjab533.doi:10.1093/jscr/rjab533
• Anthony N, Douthit NT, Foster A. Actinomyces europaeus as an emerging cause of necrotizing fasciitis. IDCases. 2023;31:e01712. doi:10.1016/j.idcr.2023.e01712
• Bing AU, Loh SF, Morris T, Hughes H, Dixon JM, Helgason KO. Actinomyces Species Isolated from Breast Infections. J Clin Microbiol. 2015;53(10):3247-3255. doi:10.1128/JCM.01030-15
• Cobo F, Guillot V, Navarro-Marí JM. Breast Abscesses Caused by Anaerobic Microorganisms: Clinical and Microbiological Characteristics. Antibiotics (Basel). 2020;9(6):341. doi:10.3390/antibiotics9060341
• Funke G., Alvarez N., Pascual C., Falsen E., Akervall E., Sabbe L. Actinomyces europaeus sp. nov., isolated from human clinical specimens. Int J Syst Bacteriol. 1997;47:687–692. doi: 10.1099/00207713-47-3-687.
• Gollapalli V, Liao J, Dudakovic A, Sugg SL, Scott-Conner CE, Weigel RJ. Risk factors for development and recurrence of primary breast abscesses. J Am Coll Surg. 2010;211(1):41-48. doi:10.1016/j.jamcollsurg.2010.04.007
• Kang Y, Kim YM. Comparison of needle aspiration and vacuumassisted biopsy in the ultrasound-guided drainage of lactation breast abscesses. Ultrasonography 2016; 35: 148–52
• Lynch T, Gregson D, Church DL. Species-Level Identification of Actinomyces Isolates Causing Invasive Infections: Multiyear Comparison of Vitek MS (Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry) to Partial Sequencing of the 16S rRNA Gene. J Clin Microbiol. 2016;54(3):712-717. doi:10.1128/JCM.02872-15
• Nielsen HL. First report of Actinomyces europaeus bacteraemia result from a breast abscess in a 53-year-old man. New Microbes New Infect. 2015;7:21-22. doi:10.1016/j.nmni.2015.05.001
• Nouioui I, Carro L, García-López M, et al. Genome-Based Taxonomic Classification of the Phylum Actinobacteria. Front Microbiol. 2018;9:2007. doi:10.3389/fmicb.2018.02007
• Pileri P, Sartani A, Mazzocco MI, et al. Management of Breast Abscess during Breastfeeding. Int J Environ Res Public Health. 2022;19(9):5762. doi:10.3390/ijerph19095762
• Russell SP, Neary C, Abd Elwahab S, et al. Breast infections - Microbiology and treatment in an era of antibiotic resistance. Surgeon. 2020;18(1):1-7. doi:10.1016/j.surge.2019.03.008
• Saboo A, Bennett I. Trends in non-lactation breast abscesses in a tertiary hospital setting. ANZ J Surg. 2018;88(7-8):739-744. doi:10.1111/ans.14146
• Silva WA, Pinheiro AM, Jahns B, Bögli-Stuber K, Droz S, Zimmerli S. Breast abscess due to Actinomyces europaeus. Infection. 2011;39(3):255-258. doi:10.1007/s15010-011-0119-3
• Smith AJ, Hall V, Thakker B, Gemmell CG. Antimicrobial susceptibility testing of Actinomyces species with 12 antimicrobial agents. J Antimicrob Chemother. 2005;56(2):407-409. doi:10.1093/jac/dki206
• Valour F, Sénéchal A, Dupieux C, et al. Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist. 2014;7:183-197. doi:10.2147/IDR.S39601
• Wolff A, Rodloff AC, Vielkind P, Borgmann T, Stingu CS. Antimicrobial Susceptibility of Clinical Oral Isolates of Actinomyces spp. Microorganisms. 2022;10(1):125. doi:10.3390/microorganisms10010125
• Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011;343:d6099. doi:10.1136/bmj.d6099