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Date: | Thu, 24 Jul 2008 17:17:47 -0400 |
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This is posted with the patient's permission. She is expecting her fifth baby. In
the past, she has developed mastitis "the minute her milk comes in". It occurs
sooner and her symptoms are more severe with each pregnancy. She
develops enormous swelling, red streaks, and temp of 105 almost immediately.
She has had lengthy hospitalizations with IV antibiotics in the immediate
postpartum period with her last two babies. Her husband is a physician, and
she is under the care of an infectious disease specialist. He has helped with
her last two situations, and has strongly discouraged her from breastfeeding
again. Actually, she has never made it past the three week mark with lactation
due to the severe reaction. I suspect there could be a name for this - like
autoimmune something - and she has mentioned staph, thinks it might be
MRSA. I've certainly never seen anything like it - it does seem as if her body
reacts violently to lactogenesis. The plan this time is to immediately bind the
breasts, and start IV antibiotics. She is allergic to most of the common
antibiotics, and can tolerate Zyvox and Lecithin. Any experience with this?
Thanks
Julie Patton RN IBCLC
Huntsville, AL
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