This case sounds like a ductal bacterial infection. We are finding that 
these are not usually staph aureus, but staph epidermitis. It is best 
for the milk to be cultured after cleaning the nipple-areolar complex 
with alcohol. IF the culture shows staph epidermitis, then I recommend 
asking for sensitivities for the organism.
This woman likely needs at least 6 weeks of antibiotics, based on my 
experience.
Anne
Anne Eglash MD
Clinical Associate Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)

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