Mastitis is an inflammation of the breast parenchyma and possibly associated tissues (areola, nipple, subcutaneous [SC] fat).
Usually associated with bacterial infection (and milk sta...
Fever >38.5°C, malaise, and myalgia
Nausea ± vomiting
Localized breast tenderness, firmness, heat, swelling, and redness
Possible breast mass
A Cochrane review found that insufficient evidence exists to confirm or refute the effectiveness of antibiotic therapy for the treatment of lactational mastitis (4)[A]. If present <24 ho...
Rest for lactating mothers, up to bathroom. Admit to medical floor. If concern for sepsis or hemodynamic instability, admit to intermediate leve...
O91.11 Abscess of breast associated with pregnancy
O91.211 Nonpurulent mastitis associated with pregnancy, first trimester
O91.113 Abscess of breast associated with pregnancy, third trimester
...
Emptying/draining of the breasts on a regular schedule (recommend following baby's cues, but going no more than 3-4 hours between feeds), avoiding constrictive clothing or bras that mi...
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Mastitis. A: This infant has mastitis. The breast is swollen and erythematous, with some areas suggesting abscess formation. B: In contrast, this newborn has physiologic gynecomastia and lactation (“witch's milk”). Note that the breast shows no erythema.
From Fleisher GR, MD, Ludwig W, MD, Baskin MN, MD. Atlas of Pediatric Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2004.
Mastitis. A: This infant has mastitis. The breast is swollen and erythematous, with some areas suggesting abscess formation. B: In contrast...
Mastitis.
FIG. 11.43. Mastitis. A: This infant has mastitis. The breast is swollen and erythematous, with some areas suggesting abscess formation. B: In contrast, this newborn has physiologic gynecomastia and lactation ("witch's milk"). Note that the breast shows no erythema.
FIG. 11.43. Mastitis. A: This infant has mastitis. The breast is swollen and erythematous, with some areas suggesting abscess formation. B...
Breast Infection and Inflammation Labeled