Tuberculosis of the breast: analysis of 20 cases and a literature review.

Abstract:

:Tuberculosis (TB) of the breast is a very rare pathology. The clinical presentations of this disease are manifold, often mimicking carcinoma of the breast. We conducted a retrospective analysis of 20 women with TB of the breast receiving care at the mastology clinic at Getúlio Vargas Hospital, PI, Brazil, between 1994 and 2007. The clinical presentation of the disease, the diagnosis and the response to specific treatment were analyzed. Most of the patients were of reproductive age, with the disease affecting the right breast in eleven patients (55%) and the left breast in nine patients (45%). Palpable nodules were present in five patients (25%) and fistulae in 15 (75%). The mean time between onset of symptoms and diagnosis was 7.7 months (range 3-12 months). Skin testing with purified protein derivative of tuberculin was strongly reactive in all patients, six (30%) of whom were breastfeeding. Diagnosis was confirmed by histopathology and all patients were satisfactorily treated with a combination of rifampicin, isoniazid and pyrazinamide. In the present study, TB of the breast presented predominantly as breast abscesses and fistulae and responded satisfactorily to treatment with anti-TB drugs.

authors

da Silva BB,Lopes-Costa PV,Pires CG,Pereira-Filho JD,dos Santos AR

doi

10.1016/j.trstmh.2009.02.005

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

559-63

issue

6

eissn

0035-9203

issn

1878-3503

pii

S0035-9203(09)00047-9

journal_volume

103

pub_type

杂志文章,评审
  • Dynamics of malaria parasitaemia associated with febrile illness in children from a rural area of Madang, Papua New Guinea.

    abstract::Active community and self-reporting surveillance techniques have been used to describe the dynamics of febrile illness and associated malaria infection in children aged 2 to 15 years from a rural area of Madang Province, Papua New Guinea (PNG). Both history of fever and fever in association with parasitaemia appeared ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(94)90292-5

    authors: Cox MJ,Kum DE,Tavul L,Narara A,Raiko A,Baisor M,Alpers MP,Medley GF,Day KP

    更新日期:1994-03-01 00:00:00

  • Biological activity of artemisinin-naphthoquine phosphate on Schistosoma haematobium stages and the vector Bulinus truncatus.

    abstract:BACKGROUND:Schistosoma haematobium infection is a major public health problem in most of Africa and the Middle East and praziquantel remains the only drug used for schistosomiasis control, therefore emergence of drug resistance is unavoidable. The antimalarial artemisinin-naphthoquine phosphate combination (co-ArNp) wa...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/try144

    authors: El-Beshbishi SN,El Bardicy S,Tadros M,Ayoub M,Taman A

    更新日期:2019-06-01 00:00:00

  • Screening for severe anaemia in pregnancy in Kenya, using pallor examination and self-reported morbidity.

    abstract::Severe anaemia in pregnancy is an important preventable cause of maternal and perinatal morbidity and mortality. Different methods of screening for severe anaemia in pregnancy were evaluated in a 2-phased study conducted in Kilifi, Kenya. In phase 1 (in 1994/95), pallor testing was evaluated alone and in addition to r...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0035-9203(01)90227-5

    authors: Shulman CE,Levene M,Morison L,Dorman E,Peshu N,Marsh K

    更新日期:2001-05-01 00:00:00

  • A systematic review and meta-analysis of the diagnostic accuracy of rapid immunochromatographic assays for the detection of dengue virus IgM antibodies during acute infection.

    abstract::A meta-analysis of rapid (

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.trstmh.2005.10.018

    authors: Blacksell SD,Doust JA,Newton PN,Peacock SJ,Day NP,Dondorp AM

    更新日期:2006-08-01 00:00:00

  • Evaluation of a new Plasmodium lactate dehydrogenase assay (OptiMAL-IT) for the detection of malaria.

    abstract::The new OptiMAL-IT(R) rapid diagnostic test for malaria was evaluated in 271 patients in Thailand with uncomplicated malaria between June and July 2002. The sensitivity and specificity for the diagnosis of Plasmodium falciparum parasites were 88% and 92%, respectively. For species other than P. falciparum, the sensiti...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(03)80100-1

    authors: Pattanasin S,Proux S,Chompasuk D,Luwiradaj K,Jacquier P,Looareesuwan S,Nosten F

    更新日期:2003-11-01 00:00:00

  • Leishmania in the Old World: 3. The distribution of L. aethiopica zymodemes.

    abstract::Isoenzyme profiles of 28 stocks of Leishmania aethiopica were compared with those of reference strains of L. aethiopica, L. tropica and L. major using starch-gel electrophoresis of 13 enzymes (GPI, GD, ES, PGM, PEPD, NH, ASAT, ALAT, PK, MPI, 6PGD, SOD, MDH). 13 zymodemes were seen. L. aethiopica showed some infraspeci...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(86)90318-4

    authors: Le Blancq SM,Belehu A,Peters W

    更新日期:1986-01-01 00:00:00

  • Wuchereria bancrofti in Tanzania: immune reactions to the microfilarial surface, and the effect of diethylcarbamazine upon these reactions.

    abstract::Immune reactions to the surface of microfilariae (mff) of Wuchereria bancrofti were investigated among persons living in an endemic filariasis area of Tanzania. The sera from a proportion of mff-negative persons contained antibodies to the microfilarial sheath, and a clear correlation was seen between presence of anti...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(85)90137-3

    authors: Simonsen PE

    更新日期:1985-01-01 00:00:00

  • Antibody detection tests for Onchocerca volvulus: comparison of the sensitivity of a cocktail of recombinant antigens used in the indirect enzyme-linked immunosorbent assay with a rapid-format antibody card test.

    abstract::There is a need for a specific, sensitive, and practical diagnostic test to monitor onchocerciasis elimination campaigns. In April 2001, an enzyme-linked immunosorbent assay (ELISA) using 3 recombinant antigens and a rapid-format antibody card test (immunochromatographic test; ICT) using an individual antigen were com...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(03)80018-4

    authors: Rodríguez-Pérez MA,Domínguez-Vázquez A,Méndez-Galván J,Sifuentes-Rincón AM,Larralde-Corona P,Barrera-Saldaña HA,Bradley JE

    更新日期:2003-09-01 00:00:00

  • Comparison of clinical tools for dengue diagnosis in a pediatric population-based cohort.

    abstract:BACKGROUND:We aimed to estimate and compare the ability of clinical tools for dengue diagnosis in a pediatric population. METHODS:We prospectively evaluated episodes of acute febrile syndrome identified during the follow-up of a population-based cohort of children and adolescents residing in a dengue endemic city. We ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/try135

    authors: Diaz-Quijano FA,Figueiredo GM,Waldman EA,Figueiredo WM,Cardoso MRA,Campos SRC,Costa AA,Pannuti CS,Luna EJA

    更新日期:2019-04-01 00:00:00

  • Mortality and loss to follow-up among HAART initiators in rural South Africa.

    abstract::A retrospective cohort study of mortality rates and potential predictors of death was conducted in public-sector patients initiating highly active antiretroviral therapy (HAART) between October 2005 and September 2007 in a rural, under-resourced region of South Africa. The aims were to determine the relative contribut...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2008.10.001

    authors: MacPherson P,Moshabela M,Martinson N,Pronyk P

    更新日期:2009-06-01 00:00:00

  • Parenteral sulphadoxine-pyrimethamine (Fansidar): an effective and safe but under-used method of anti-malarial treatment.

    abstract::One hundred and eighteen patients with acute falciparum malaria were randomized into treatment with either intramuscular or oral sulfadoxine-pyrimethamine (Fansidar, Roche) and the results were compared with those from 68 patients treated in parallel with chloroquine. Parasitological cure rate was 97% with oral sulfad...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0035-9203(90)90131-w

    authors: Salako LA,Adio RA,Sowunmi A,Walker O

    更新日期:1990-09-01 00:00:00

  • The effects of quinine and chloroquine antimalarial treatments in the first trimester of pregnancy.

    abstract::Quinine (n = 246) was used to treat uncomplicated Plasmodium falciparum and chloroquine (n = 130) was used to treat P. vivax, in a total of 376 episodes of malaria in the first trimester of pregnancy, in 300 Karen women (Thailand, 1995-2000). Parasites were still present on day 6 or 7 in 4.7% (11/234) of episodes trea...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(02)90297-x

    authors: McGready R,Thwai KL,Cho T,Samuel,Looareesuwan S,White NJ,Nosten F

    更新日期:2002-03-01 00:00:00

  • Patterns of resistance and DHFR/DHPS genotypes of Plasmodium falciparum in rural Tanzania prior to the adoption of sulfadoxine-pyrimethamine as first-line treatment.

    abstract::A study was carried out to assess the patterns of resistance and occurrence of DHFR/DHPS genotypes of Plasmodium falciparum prior to the adoption of sulfadoxine-pyrimethamine (SP) as first-line treatment for uncomplicated malaria in Tanzania. Children under five years (n = 117) with clinical, uncomplicated malaria wer...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.trstmh.2003.10.010

    authors: Eriksen J,Mwankusye S,Mduma S,Kitua A,Swedberg G,Tomson G,Gustafsson LL,Warsame M

    更新日期:2004-06-01 00:00:00

  • Determination of anti-giardial activity in vitro by means of soluble formazan production.

    abstract::A new microplate assay for the determination of activity in vitro against Giardia intestinalis has been developed in which viability is measured by soluble formazan production from a tetrazolium reagent. Metabolic reduction of the latter gives rise to a coloured product which may be determined directly by optical dens...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(92)90093-r

    authors: Wright CW,Melwani SI,Phillipson JD,Warhurst DC

    更新日期:1992-09-01 00:00:00

  • Tuberculosis control activities in the private and public health sectors of Kenya from 2013 to 2017: how do they compare?

    abstract:BACKGROUND:Large numbers of tuberculosis (TB) patients seek care from private for-profit providers. This study aimed to assess and compare TB control activities in the private for-profit and public sectors in Kenya between 2013 and 2017. METHODS:We conducted a retrospective cross-sectional study using routinely collec...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/trz062

    authors: Mailu EW,Owiti P,Ade S,Harries AD,Manzi M,Omesa E,Kiende P,Macharia S,Mbithi I,Kamene M

    更新日期:2019-12-01 00:00:00

  • Clinical characteristics of laboratory-confirmed leptospirosis in Okinawa, Japan, 1974-2015: high incidence of Jarisch-Herxheimer reaction.

    abstract:BACKGROUND:Leptospirosis is a zoonotic disease known to have wide-ranging clinical manifestations. Despite a number of published case series, culture-confirmed series are few and there is a paucity of data on Jarisch-Herxheimer reaction (JHR) associated with treatment of leptospirosis. Our objective was to describe the...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/trw061

    authors: Tsuha S,Taniguchi T,Shiiki S,Narita M,Leung DT

    更新日期:2016-09-01 00:00:00

  • Adverse reactions following diethylcarbamazine (DEC) intake in 'endemic normals', microfilaraemics and elephantiasis patients.

    abstract::This paper reports on adverse reactions following a 12-day course of 6 mg/kg diethylcarbamazine (DEC) therapy in brugian filariasis patients in Indonesia. Microfilaria-positive individuals (n = 26), 'endemic normals' (n = 12) and elephantiasis patients (n = 17) were included in the study. Fever, headache and body ache...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(99)90194-3

    authors: Haarbrink M,Terhell AJ,Abadi GK,Mitsui Y,Yazdanbakhsh M

    更新日期:1999-01-01 00:00:00

  • Specific depression of cell-mediated immunity in Malayan filariasis.

    abstract::The possible depression of cell-mediated immunity by long-term Brugia malayi infection in jirds (Meriones unguiculatus) was investigated. Different groups of infected jirds were sensitized with dinitrofluorobenzene, sheep red blood cells, Dirofilaria immitis adult antigens and B. malayi adult antigens. The 24-hour del...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(80)90070-x

    authors: Kwa BH,Mak JW

    更新日期:1980-01-01 00:00:00

  • Unexpectedly low prevalence of Helicobacter pylori infection among pregnant women on Pemba Island, Zanzibar.

    abstract::Helicobacter pylori is strongly associated with peptic ulcer and gastric cancer and may be the most common human bacterial infection. The epidemiology of H. pylori has been poorly studied in Africa, where its relevance to disease has not been fully appreciated. Following a cross-sectional study design, H. pylori infec...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2007.05.003

    authors: Farag TH,Stoltzfus RJ,Khalfan SS,Tielsch JM

    更新日期:2007-09-01 00:00:00

  • Studies on Mediterranean leishmaniasis. IV. The leishmanin skin test in cutaneous leishmaniasis.

    abstract::The leishmanin skin test was used in four different areas of the Italian Adriatic coast (Emilia Romagna, Marche, San Marino and Abruzzi), old endemic areas for cutaneous leishmaniasis. The test was found to be postitive in 80% of past infections, the 20% negative reactions being found in those who had been infected 20...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(76)90009-2

    authors: Pampiglione S,Manson-Bahr PE,La Placa M,Borgatti MA,Micheloni F

    更新日期:1976-01-01 00:00:00

  • Sensitization against the parasite antigen Sj26 is not sufficient for consistent expression of resistance to Schistosoma japonicum in mice.

    abstract::Mice immunized with purified antigen preparations produced in Escherichia coli and containing the glutathione S-transferase (GST) isoenzyme of Schistosoma japonicum (Sj26) can be partially resistant to infection with this parasite. Maximum resistance was approximately 50% and no protection was obtained in BALB/c mice,...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(88)90027-2

    authors: Mitchell GF,Garcia EG,Davern KM,Tiu WU,Smith DB

    更新日期:1988-01-01 00:00:00

  • A comparison of enzyme-linked immunosorbent assay and indirect fluorescent antibody test in the sero-diagnosis of cutaneous and visceral leishmaniasis in Iran.

    abstract::ELISA AND IFAT have been applied to the sero-diagnosis of cutaneous and visceral leishmaniasis and the levels of leishmanial antibody detected by Leishmania donovani antigens in both tests have been compared. From the results it appears that ELISA is a little more sensitive than IFAT, but IFAT seems to be more specifi...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(79)90084-1

    authors: Edrissian GH,Darabian P

    更新日期:1979-01-01 00:00:00

  • Correlation between isoenzyme patterns and biological behaviour of different strains of Trypanosoma cruzi.

    abstract::Three strains of Trypanosoma cruzi, used previously as prototypes for a classification based on the host-parasite relationships, as well as several stocks isolated from different geographical areas in Brazil, were submitted to isoenzymic analysis. Their isoenzyme patterns revealed a clear correlation with the biologic...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(83)90292-4

    authors: Andrade V,Brodskyn C,Andrade SG

    更新日期:1983-01-01 00:00:00

  • Cockroaches as carriers of human intestinal parasites in two localities in Ethiopia.

    abstract::A study was undertaken to assess the role of cockroaches as potential carriers of human intestinal parasites in Addis Ababa and Ziway, Ethiopia. A total of 6480 cockroaches were trapped from the two localities from October 2006 to March 2007. All the cockroaches trapped in Addis Ababa (n=2240) and almost 50% (2100/424...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2008.05.009

    authors: Kinfu A,Erko B

    更新日期:2008-11-01 00:00:00

  • Immunity to malaria in young Gambian children after a two-year period of chemoprophylaxis.

    abstract::A cohort of 48 Gambian children was protected against malaria by fortnightly administration of Maloprim (pyrimethamine and dapsone) for 2 years between their 3 and 5 birthdays. A matched cohort of 47 children received placebo. During the year following the termination of prophylaxis there was no increase in the freque...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 临床试验,杂志文章

    doi:10.1016/0035-9203(88)90263-5

    authors: Otoo LN,Snow RW,Menon A,Byass P,Greenwood BM

    更新日期:1988-01-01 00:00:00

  • The role of dogs in the epidemiology of human visceral leishmaniasis in northern Pakistan.

    abstract::Infantile visceral leishmaniasis (VL) was first reported from north Pakistan over 3 decades age in the remote valleys of the western Himalayas. These foci were reported as being completely devoid of domestic dogs. The later emergence of sporadic cases of infantile VL in the sub-Himalayan region of the country, where d...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(95)90409-3

    authors: Rab MA,Frame IA,Evans DA

    更新日期:1995-11-01 00:00:00

  • Neurocysticercosis in childhood.

    abstract::Manifestations of cysticercosis in 11 children (mean age 9.5 years) are presented. Features of raised intracranial pressure dominated the clinical picture (10 cases), followed by seizures (7 cases). Subretinal cysts occurred in three children. Focal signs were infrequent and often not attributable to anatomical lesion...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(87)90138-6

    authors: Kalra V,Paul VK,Marwah RK,Kochhar GS,Bhargava S

    更新日期:1987-01-01 00:00:00

  • Arithmetic or geometric means of eggs per gram are not appropriate indicators to estimate the impact of control measures in helminth infections.

    abstract::In helminthology, the mean number of eggs per gram of faeces (EPG) is a commonly used indicator for the severity of the infection in a population. The example presented here shows that, in my opinion, mean EPG (either calculated as arithmetic or geometric means) is not the best way to evaluate the impact of control me...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2007.04.008

    authors: Montresor A

    更新日期:2007-08-01 00:00:00

  • Filarial selenium glutathione peroxidase: a probable immunodiagnostic marker for lymphatic filariasis.

    abstract::Lymphatic filariasis (LF) caused by Wuchereria bancrofti is widely prevalent in tropical and subtropical countries. Night blood film examination is most commonly used for diagnosis of filariasis but is cumbersome and labour intensive. In order to develop an indirect ELISA-based immunodiagnostic test, the importance of...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2010.02.007

    authors: Singh A,Kamal S,Rathaur S

    更新日期:2010-08-01 00:00:00

  • Genetic polymorphism in Leishmania (Viannia) braziliensis detected in mucosal leishmaniasis of HIV-infected and non-HIV-infected patients.

    abstract::The genetic polymorphism of Leishmania (Viannia) braziliensis detected in cases of mucosal leishmaniasis (ML) from HIV-infected and non HIV-infected patients was evaluated. Nine samples from three HIV-infected patients and five samples from five non HIV-infected patients were analysed by polymerase chain reaction (PCR...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2012.07.007

    authors: de Oliveira FS,Valete-Rosalino CM,Schubach Ade O,Madeira Mde F,Pacheco Rda S

    更新日期:2012-11-01 00:00:00