Hello Wise Women,

I have two difficult maststis cases I'm working with right now. Wonder
if I'm missing something?

Case #1: 10 months post birth and has had seven bouts of treated
mastitis. It goes away and then returns a few weeks later. Doc has been
prescribing Keflex. No risk factors other than hx of Beta Strep that was
treated at delivery. I am wondering if babe is colonized with beta strep
and giving it back to mom all the time. The mastitis moves around from
breast to breast and location to location. No anemia. No
diabetes.Breasts are soft with localized redness and tenderness in one
area at this time. Starting to chill as I was seeing her. Babe nurses in
varying positions. I sent her to the pediatrician to get the baby
swabbed. Anything else I should have done?

Case #2: 3 1/2 weeks post delivery. Has now had mastitis in varying
severities for 2 weeks. Is starting a third week of Keflex. Bilateral.
Redness and warmth over approx 1/2 of right breast and 1/4 of left.
Still having low grade fevers (initially was 104.0 but now about 100.2).
I sent her back to the OB to ask for a different antibiotic. Keflex is
clearly not getting it. Breasts are very full and heavy so she is also
pumping to keep breasts well drained and baby is feeding just fine and
thriving. No hx of Beta Strep at delivery. What am I missing?

Susan

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