Mastitis (breast infection inflammation)


Description

An inflammation or infection of the breast. It occurs in about 1% of new mothers and is more common in women who are breast-feeding. The most common bacteria cause is Staphylococcus aureus. It is believed the bacteria get into the breast through cracks in the skin. This disorder is more likely to occur if the breast feeding mother has skin irritation in the area of the nipple. In some cases mastitis can lead to the development of a breast abscess (fluid collection of infectious material).

Symptoms

Breast pain, breast lump, breast enlargement on one side only, swelling, tenderness, redness, and warmth in breast tissue, nipple discharge (may contain pus), tender or enlarged lymph nodes in armpit on the same side, fever.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. In women who are not breast-feeding, testing may include mammography or breast biopsy. An ultrasound is done if an abscess is suspected.

Tests:
Complete blood count (CBC), Ultrasound

Other Specific Tests: Breast biopsy

Specialists:
Internal Medicine, Obstetrics and Gynecology, Family Practice

Treatment

Treatment includes moist heat to the infected breast tissue for 15 to 20 minutes four times a day, and antibiotics. Mothers are asked to continue to pump milk to prevent engorgement.
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