Thanks to Dr. Ayesha Farooq, Mayo Clinic, Rochester, Minnesota, USA and Dr. Julie Jorns, Medical College of Wisconsin, Milwaukee, Wisconsin, USA for contributing this case and discussion and to Dr. Gary Tozbikian, Ohio State University, Columbus, Ohio, USA for reviewing the discussion.
A young woman presented to the emergency department with right breast pain, erythema and drainage. She recently had her bilateral nipples pierced and developed a small sore near the border of her right nipple that progressed to an open wound. She developed fevers, chills and nausea. She had a prior history of breast reduction complicated by skin infection but no personal or family history of breast disease.
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