Evidence map›Paper›PMID 26135858›Full record

ArticleJournal of clinical microbiology2015

Antimicrobial Treatment Options for Granulomatous Mastitis Caused by Corynebacterium Species.

Hazel C Dobinson, Trevor P Anderson, Stephen T Chambers, Matthew P Doogue, Lois Seaward, Anja M Werno

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 133 citations in OpenAlex.

  1. Trial
  2. Review
  3. Infectious diseases & clinical microbiology · 2026
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  8. Comparative pangenomics of theFrontiers in microbiology · 2026
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  9. Journal of inflammation research · 2026
    Article
  10. Improvement of isolation and drug testing methods for Corynebacterium spp. in clinical specimens of granulomatous mastitis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  11. Granulomatous mastitis - Case report.International journal of surgery case reports · 2025
    Article
  12. Article
  13. Emerging Insights intoInfection and drug resistance · 2025
    Article
  14. Article
  15. Article
  16. Emerging mastitis-associatedFrontiers in cellular and infection microbiology · 2025
    Article
  17. Article
  18. Review
  19. Complete genome sequence ofJournal of animal science and technology · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hazel C DobinsonMicrobiology Department, Canterbury Health Laboratories, Christchurch, New Zealand.
Trevor P AndersonMicrobiology Department, Canterbury Health Laboratories, Christchurch, New Zealand.
Stephen T ChambersDepartment of Pathology, University of Otago, Christchurch, New Zealand Department of Medicine, University of Otago, Christchurch, New Zealand.
Matthew P DoogueDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Lois SeawardMicrobiology Department, Canterbury Health Laboratories, Christchurch, New Zealand.
Anja M WernoMicrobiology Department, Canterbury Health Laboratories, Christchurch, New Zealand anja.werno@cdhb.health.nz.
Canterbury Health Laboratories · NZUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corynebacterium species are increasingly recognized as important pathogens in granulomatous mastitis. Currently, there are no published treatment protocols for Corynebacterium breast infections. This study describes antimicrobial treatment options in the context of other management strategies used for granulomatous mastitis. Corynebacterium spp. isolated from breast tissue and aspirate samples stored from 2002 to 2013 were identified and determined to the species level using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS), 16S RNA sequencing, and rpoB gene targets. The MICs for 12 antimicrobials were performed using Etest for each isolate. Correlations of these with antimicrobial characteristics, choice of antimicrobial, and disease outcome were evaluated. Corynebacterium spp. from breast tissue and aspirate samples were confirmed in 17 isolates from 16 patients. Based on EUCAST breakpoints, Corynebacterium kroppenstedtii isolates (n = 11) were susceptible to seven antibiotic classes but resistant to β-lactam antibiotics. Corynebacterium tuberculostearicum isolates (n = 4) were multidrug resistant. Two nonlipophilic species were isolated, Corynebacterium glucuronolyticum and Corynebacterium freneyi, both of which have various susceptibilities to antimicrobial agents. Short-course antimicrobial therapy was common (median, 6 courses per subject; range, 1 to 9 courses). Patients with C. kroppenstedtii presented with a hot painful breast mass and underwent multiple surgical procedures (median, 4 procedures; range, 2 to 6 procedures). The management of Corynebacterium breast infections requires a multidisciplinary approach and includes culture and appropriate sensitivity testing to guide antimicrobial therapy. Established infections have a poor outcome, possibly because adequate concentrations of some drugs will be difficult to achieve in lipophilic granulomata. Lipophilic antimicrobial therapy may offer a therapeutic advantage. The role of immunotherapy has not been defined.

Indexed as

DebridementAdultAgedAnti-Bacterial AgentsCluster AnalysisCorynebacteriumCorynebacterium InfectionsDisk Diffusion Antimicrobial TestsDNA, BacterialDNA-Directed RNA PolymerasesDNA, RibosomalFemaleGranulomatous MastitisHumansMiddle AgedMolecular Sequence DataAnti-Bacterial AgentsDNA, BacterialDNA-Directed RNA PolymerasesDNA, RibosomalRNA polymerase beta subunitRNA, Ribosomal, 16S

Identifiers

PMID26135858
PMCPMC4540898
OpenAlexW1869467887

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.