Thanks to all who offered suggestions for the resident with the stubborn case of mastitis. Thankfully, she is much improved now that she's on Diflucan, Keflex and has had a combination of massage, reflexology and homeopathic treatments (and, no doubt, a real acceptance of the need -- at least temporarily -- to just rest and nurse her baby). Now if we can just convince her not to return to her resident duties too fast...... Now for a quick question. The possibility that this mastitis was actually due to yeast was brought up in a couple of the posts. I had seen "yeast mastitis" briefly discussed in Lawrence's text and now I'm wondering how often this occurs in practice. Those of you who treat a lot of breast candidiasis, please share with us how often yeast presents as a mastitis in your experience. If that diagnosis is considered, what are the clinical criteria that differentiate it from a bacterial mastitis. How often is a culture of the milk helpful in making this diagnosis? TIA, Alicia Dermer, MD, IBCLC. *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html