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Wed, 14 Feb 2001 07:21:19 -0500 |
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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.
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