{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T23:53:13Z","timestamp":1788393193644,"version":"build-2803163510"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,12,18]]},"abstract":"<jats:p>We describe the case of a 46-year-old female patient treated for disseminated tuberculosis (TB) infection involving the lungs, urinary tract and skin. Following initiation of antituberculous therapy, the patient's right breast implant eroded through the overlying skin and was seen to be herniating through the resulting defect. The breast implant was removed under local anaesthetic and histological analysis of the resected tissue demonstrated granuloma formation consistent with periprosthetic TB. Wound healing following implant removal was poor and future breast augmentation surgery was only considered following completion of 12\u2005months anti-TB treatment. This case constitutes the first report in the literature of percutaneous breast implant herniation resulting from periprosthetic infection with TB. A high index of suspicion is required to ensure early detection and timely management of TB and, in cases where periprosthetic pus aspirate is sterile, mycobacterial infection must be actively excluded.<\/jats:p>","DOI":"10.1136\/bcr-2014-207546","type":"journal-article","created":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T13:49:13Z","timestamp":1420638553000},"page":"bcr2014207546","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Percutaneous breast implant herniation: a rare complication of miliary TB"],"prefix":"10.1136","volume":"2015","author":[{"given":"Adam P","family":"Dale","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology, Basingstoke and North Hampshire Hospitals, Basingstoke, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin J","family":"Dedicoat","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Tropical Medicine, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tausif","family":"Saleem","sequence":"additional","affiliation":[{"name":"Department of Histopathology, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ed","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Tropical Medicine, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,1,7]]},"reference":[{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2011.09.003"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000070727.02992.54"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)01281-8"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.4","doi-asserted-by":"publisher","DOI":"10.1007\/s002669900194"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.5","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-001-1129-3"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.6","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199603000-00014"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.asj.2006.12.013"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.8","doi-asserted-by":"publisher","DOI":"10.1086\/507535"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.9","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.96.11.556"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.10","first-page":"268","article-title":"Total hip replacement infected with Mycobacterium tuberculosis. A case report with review of literature","volume":"73","author":"Shanbhag","year":"2007","journal-title":"Acta Orthop Belg"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2003.10.015"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.12","doi-asserted-by":"crossref","first-page":"505.e1","DOI":"10.1016\/j.arth.2009.11.025","article-title":"Incision infection with Mycobacterium tuberculosis after total hip arthroplasty without any primary tuberculosis focus","volume":"26","author":"Cans\u00fc","year":"2011","journal-title":"J Arthroplasty"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.13","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/j.ijcard.2012.08.009","article-title":"Tuberculous endocarditis","volume":"167","author":"Liu","year":"2012","journal-title":"Int J Cardiol"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.14","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jep202"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.15","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1590\/S1807-59322009000600019","article-title":"Isolated primary breast tuberculosis: report of three cases and review of the literature","volume":"64","author":"Sen","year":"2009","journal-title":"Clinics (S\u00e3o Paulo)"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.16","doi-asserted-by":"crossref","first-page":"39","DOI":"10.3233\/BD-130343","article-title":"Mammary tuberculosis in the young: a case report and literature review","volume":"34","author":"Green","year":"2012","journal-title":"Breast Dis"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.17","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199709000-00007"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.anplas.2009.02.006"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.19","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000270296.61765.28"},{"key":"2025082707253449000_2015.jan07_1.bcr2014207546.20","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181d17fff"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207546","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:25:43Z","timestamp":1756304743000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207546"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,7]]},"references-count":20,"alternative-id":["10.1136\/bcr-2014-207546"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207546","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,7]]}}}