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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