I have been hoping in an answer about this from the Wise Ones, because
from what you describe I had thought of a possible bacterial infection
following the viral one, but I have no grounds on which to base my idea.
I have done a pubmed search: nothing came out for humans, but there were
titles which seemed to refer to possible consequences of the foot and
mouth disease on cows such as mastitis and decreased milk output. There
were no abstracts, so I could not get much knowledge, just the idea that
the connection between this virus and a subsequent bacterial infection
could exist, at least as an increased risk factor. After all this would
be the same idea for which otitis media is often treated with
antibiotics even if there is no proof of bacterial infection (so my
pediatrician explained to me).
I am curious about this and would be happy if someone could share an
opinion :-)
Thanks!
Micaela
LLLL Italy
Il 07/01/2011 22.12, Pia Ruohotie ha scritto:
> Hello all!
>
>
> I resieved a phone call yesterday from a mother of a 4 month old baby
> (have not seen the mother). I have mother´s permission to post.
>
> The mother is healthy 39 years old, breastfeeding her second baby
> (breastfed older child also with no difficulties). The baby is now 4
> month old, exclusively breastfed. About 1,5 weeks ago the mother got
> foot, mouth and hand disease (coxackie A virus) and at the same time
> her both breasts got painful. The first doctor thought that pain was
> due the disease, but it did not disappear when the other symptoms
> disappeared. The mother describes "typical trush symptoms", with
> burning sensation and shooting pain towards chest. The nipples are
> somehow dry, but not red. The pain is so severe that she has needed
> full time dose of acetaminophen daily and this medication does not
> control pain enough. Breastfeeding is painful. The mother has seen a
> couple of MDs who have not been able to figure out what is going on.
> The mother suspect thrush and asked medicine for that and has tried
> two topical medications without help. She has been doing other things
> also, hygiene ok and baby has been treated also, no visible thrus in
> baby´s mouth. We talked about situation and the mother sounded painful
> even in phone. I said that the symptoms sounded like thrush and the
> next step would probably be trying systemic treatment as is in texts.
> I suggested that she can try add ibuprofen also for a couple of days
> until she can get to the MD again. But I also promised to ask here, if
> somebody have heard about breast pain with virus disease (foot, mouth
> and hand disease)?
>
> Happy New Year!
> Pia Ruohotie, RN, IBCLC (very proud to sign my message as IBCLC for
> the first time!)
>> From Helsinki, Finland, Europe
> Helsinki University Hospital, Jorvi
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