Necrotizing Fasciitis of the Breast: A Case Managed without Mastectomy

Objective: To report a rare presentation of necrotizing fasciitis (NF) in the breast and its management. Clinical Presentation and Intervention: A 61-year-old non-diabetic lady presented with a painful swollen right breast and yellowish discharge associated with fever for the last few days. Based on clinical examination and haematological parameters, a provisional diagnosis of breast abscess was made that later proved to be a case of NF. She was managed conservatively with repeated debridement followed by split-skin grafting with preservation of the breast. Conclusion: This case showed that NF of the breast can present as a simple breast abscess which was managed conservatively. Copyright © 2011 S. Karger AG, Basel