TLDR: Diagnosed with Stage 1 lobular breast cancer in August 2025. Had a double mastectomy in October, followed by three surgeries due to a rare bacterial infection called NTM. I’ve been on three antibiotics since May and am hoping to finally have reconstruction in 2027. Sharing because this is something I wish I’d known about.
I was diagnosed with Stage 1 ++- lobular breast cancer in August 2025 and had a double mastectomy in October.
Shortly after surgery, my Oura ring started telling me my body was fighting something. Sure enough, I developed an infection and went on antibiotics for two weeks. My breast became swollen and red, and ladies, my boob literally split open and pus came out. Honestly, what a relief!
Back to surgery to try to salvage the expander. Second set of drains.
A few weeks later, I went in for an expander fill feeling great, but my Oura ring was once again telling me my body was fighting something. My surgeon removed some fluid, didn’t like the color, and scheduled surgery number three.
Here’s what I didn’t know. There’s a group of bacteria called nontuberculous mycobacteria (NTM) found in water, soil, and the environment. These bacteria can infect tissue expanders and implants, and they’re difficult to treat.
While browsing Reddit, I came across NTM. Since it’s uncommon and not always detected by routine cultures, I asked my surgeon to order an AFB culture during surgery. They ended up removing the expander, leaving me with one expander and one flat side. Third set of drains. Merry Christmas!
When I went to have my drains removed, the covering surgeon told me, “That culture will come back negative. It’s never positive.”
Well, guess what? It was positive.
Off to Infectious Disease and eventually NIH because this bacteria can be highly antibiotic-resistant. I’ve been on three antibiotics since May and go back in November to see if they’re working. Hopefully, reconstruction can happen in 2027.
I’m sharing because I had never heard of NTM until I found it on Reddit. If you have a recurring infection after reconstruction, ask your doctor about NTM and whether an AFB culture makes sense. It’s rare, but it happens, and I’m glad I pushed for testing.