Kim posts on a mother with sores on her nipples that seem to be spreading,
and reports that the nursling recently had 'blisters' in her mouth during a
febrile illness.

I would recommend culturing the sores, just because it seems like a good
idea.  Depending on the lab facilities you have, you might be able to check
for herpes too, so ask if you are not sure.

I have seen a couple of cases of transient sores on nipples, exquisitely
painful, following observation of lesions in the child's mouth that looked
like blisters, also accompanied by a febrile illness.  Fluid-filled vesicles
is the term, and that is also how herpes presents, though these cases were
not as severe nor as long-lasting as a primary herpes virus infection is
reputed to be.

The mothers' sores did heal, and on their own.  In the one case the mother
had long been plagued by candidiasis in various body systems including her
nipples and these lesions were qualitatively very different from her usual
yeast symptoms.  We never did find out what they were and are just glad they
have never recurred.

Rachel Myr
Kristiansand, Norway

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