Date: Tue, 27 Mar 2001 17:11:46 -0800
From: "Kimberly Jackson" <<a href="/scripts/wa-LSOFTDONATIONS.exe?LOGON=A3%3D0103D%26B%3D--%26E%3D0%26L%3DLACTNET%26P%3D500815%26T%3Dtext%252Fplain%26A3%3D0103D%26B%3D--%26E%3D0%26L%3DLACTNET%26P%3D500815%26T%3Dtext%252Fplain" target="_parent" >[log in to unmask]</a>>
Subject: atypical recurrent mastitis with galactoceles
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I am a hospital-based lactation consultant and we have a pt who presented =
10 d pp with R breast pain, diffuse redness, edema, pain and fever. There =
was no "typical" wedge shaped redness or lump, onset was sudden. Her whole =
R breast was red and swollen. She was slow to respond to abx (no change in =
appearance of breast for >48 hrs). She is now back less than 10 days post =
d/c (still on po abx) with same exact sx's but this time in L breast. =
Fever is very high (39.9) and again slow to respond to abx. U/S showed =
"micro" galactoceles throughout both breasts. Largest galactocele =
aspirated and was sterile, results of blood cx's  and milk cultures not =
back yet. She is now on vancomycin (in case of MRSA) and zosyn IV. As she =
has been so sick almost since delivery, she is considering weaning (baby =
is thriving). She is sad about this and also aware that she can not wean =
until infection is cleared up. I have never seen this presentation nor has =
her MD. Any advice? What about these diffuse galactoceles? Any help would =
be appreciated.
Kimberly Jackson, RN,LC (recerting after 10 years this July!)
email: <a href="/scripts/wa-LSOFTDONATIONS.exe?LOGON=A3%3D0103D%26B%3D--%26E%3D0%26L%3DLACTNET%26P%3D500815%26T%3Dtext%252Fplain%26A3%3D0103D%26B%3D--%26E%3D0%26L%3DLACTNET%26P%3D500815%26T%3Dtext%252Fplain" target="_parent" >[log in to unmask]</a>

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