Document Detail

Fine needle aspiration biopsy of mastitis secondary to empyema necessitatis. A report of two cases.
MedLine Citation:
PMID:  10518147     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Empyema necessitatis is a relatively rare entity. Two instances of mastitis secondary to empyema necessitatis, diagnosed by fine needle aspiration biopsy are reported. CASES: One case was tuberculous in etiology and was initially recognized by cytologic findings of epithelioid and granulomatous cellular reactions and the presence of acid-fast bacilli, which were subsequently cultured and speciated as Mycobacterium tuberculosis. The other case was due to coexisting Actinomyces and Actinobacillus. These organisms were cytologically suggested by "sulfur" granules of filamentous, gram-positive bacilli, admixed gram-negative coccobacilli and Splendore-Hoeppli phenomenon in an exudative cell background and were confirmed by microbiologic culture as Actinomyces israelii and Astinomyces actinomycetemcomitans, respectively. CONCLUSION: The usefulness of fine needle aspiration cytology in the diagnosis of empyema necessitatis, supported by ancillary microbial culture, histochemistry, and radiographic imaging, is well illustrated by these two cases.
C V Reyes; K S Thompson; J Jensen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta cytologica     Volume:  43     ISSN:  0001-5547     ISO Abbreviation:  Acta Cytol.     Publication Date:    1999 Sep-Oct
Date Detail:
Created Date:  1999-10-26     Completed Date:  1999-10-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370307     Medline TA:  Acta Cytol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  873-6     Citation Subset:  IM    
Cytology Section, Veterans Affairs Hospital, Hines, Illinois, USA.
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MeSH Terms
Actinobacillus / isolation & purification
Actinomyces / isolation & purification
Biopsy, Needle
Empyema, Pleural / complications,  microbiology,  pathology*
Empyema, Tuberculous / complications,  microbiology,  pathology*
Mastitis / etiology,  microbiology,  pathology*
Middle Aged
Mycobacterium tuberculosis / isolation & purification
Pericardial Effusion / pathology,  radiography
Pleural Effusion / pathology,  radiography
Radiography, Thoracic
Tomography, X-Ray Computed

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