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Author STUDY: A saline-filled breast implant with intraluminal and pericapsular Aspergillus
Ilena Rose

2006-09-28, 9:29 pm

Note from Ilena Rosenthal: In actuality, these infections are not so
rare. We hear from women continually whose infections have never been
reported by their PS's to anyone or been a part of any study.

http://www.ncbi.nlm.nih.gov/entrez/...l=pubmed_DocSum

J Plast Reconstr Aesthet Surg. 2006;59(10):1118-21. Epub 2006 Apr 17.
Links

The semi-permeability of silicone: a saline-filled breast implant with
intraluminal and pericapsular Aspergillus flavus.Wright PK, Raine C,
Ragbir M, Macfarlane S, O'donoghue J.
Department of General Surgery, Royal Victoria Infirmary, Newcastle
upon Tyne NE1 4LP, UK.

Fungal infection of breast implants is a rare complication. Growth of
fungi within the lumen of saline-filled implants has previously been
demonstrated in laboratory studies, however, clinical infections are
rare. We report a case of Aspergillus flavus growth within and around
a saline-filled breast implant that was inserted 18 months previously.
This was successfully treated with implant removal and wound
irrigation. Possible routes of microbial contamination as well as
survival mechanisms of organisms within saline-filled implants are
discussed. This case reiterates that the silicone envelope of a
saline-filled implant is selectively permeable and we believe this is
instrumental in facilitating intraluminal microbial growth. This also
emphasises the importance of stringent asepsis when dealing with
saline-filled breast implants including avoiding contamination of the
saline filling fluid.

PMID: 16996440 [PubMed - in process]


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