Late breast implant infections: a delayed MRSA infection from hematogenous spread in an intravenous drug user

We present the case of a methicillin-resistantStaphylococcus aureus bilateral breast implant infection in a 42-year-old female, 19  years after submuscular saline breast augmentation. Her history was significant for intravenous drug abuse and concomitant osteomyelitis of the sternum and manubrium. She underwent washout and debridement, with explantation of the breast implants, and long-term intravenous vancomycin. This represe nts the longest reported occurrence of late infection in breast augmentation and the only report of a breast implant infection due to hematogenous spread/seeding from intravenous drug abuse.Level of Evidence: Level V, risk study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research