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Acute Mastitis

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Topic updated on 12/16/16 3:43am

Introduction
  • Superficial infection of the breast (cellulitis)
  • Most commonly caused by Staphylococcus aureus
  • Often associated with breast feeding secondary to skin cracks
  • Destruction of breast tissue leads to abscess formation
  • Any inflammatory breast in postmenopausal women is cancer until proven otherwise
Presentation
  • Symptoms
    • pain
    • fever
    • purulent nipple discharge
Treatment
  • Antibiotics
    • dicloxacillin
    • cephalexin
    • amoxacillin-Clavulanate
    • TMP-SMX (if MRSA suspected)
    • clindamycin (if MRSA suspected)
  • Continue breast feeding in affected breast

 



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