XXXX after breast augmentation: rapid microbiologic detection by using sonication of removed implants and microcalorimetry.

@entity1 @entity39 @entity4195 @entity281 @entity158 @entity1851
OBJECTIVES: To describe the use of sonication and microcalorimetry in diagnosing @entity39 in a 27-year-old @entity1 with bilateral breast implants. METHODS: The removed breast implants were subjected to sonication and microcalorimetry. The microcalorimetry findings were correlated with conventional microbiologic methods. The time to detection of @entity281 was noted. RESULTS: The @entity1 had @entity158 of the right breast that enlarged within hours. Her @entity1851 level was increased. Chest radiograph showed gas formation in the soft tissue lateral of the right breast. Surgery was performed: 300 mL (right breast) and 100 mL (left breast) of serous-purulent fluid were evacuated. @entity4195 was cultured from the fluid 1 day after clinical presentation. Infection was diagnosed by microcalorimetry of sonication fluid in 1 hour and 21 minutes. The microcalorimetry curve from the right implant reached the peak earlier than did the left implant. CONCLUSION: Microcalorimetry will have a benefit in conditions in which rapid diagnosis of @entity281 is important.
