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Date: | Mon, 17 Jul 2000 11:43:51 +1000 |
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Hi all
Barbara wrote <snip>
>Most of thetexts describe febrile sx as the marker for mastitis, and it
seems to be
>required to receive treatment. Yet few of the women I see are febrile.
>Perhaps they mask sx by taking anti-pyretics, or perhaps they don't
>typically spike fevers until terribly ill.
This is certainly my experience in my cohort of one (me !). With each of my
3 lactation's I have experienced mastitis. The only time I was febrile was
with infectious mastitis. Each other episode of non-infectious mastitis,
was non-medicated, self limiting and resolved with the usual basic
treatments coupled with removal of the cause eg wearing a bra to bed. Both
types were painful
Another scenario which may be of interest - I developed a breast lump in the
latter stages of a pregnancy. Slightly reddened skin and lump was painful
if manipulated but otherwise unremarkable. No fever. Seemed to be able to
be massaged to a smaller size, but always returned. Post partum, with the
onset of lactogenesis 2, it became much more painful, needle aspiration
revealed pus-filled abscess, positive for staph aureous ++. So, antenatal
lump with some pain, redness and no fever, found to be a breast abscess on
examination, which is not the usual picture of mastitis/abscess.
Enjoying the discussion and adding to the knowledge base. Thanks for
bringing it up Barbara.
Trudi
:-) 8 :-) 8 :- ) 8 :-) 8 :-) 8 :-) 8 :-) 8 :-) 8
``````````````````````````````````````````````````````````````
Trudi Szallasi RN B Nurs. (exam in 2 weeks!)
NMAA BF Counsellor
In Queensland, Australia.
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