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Date: | Fri, 13 Dec 1996 17:57:05 -0500 |
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There is no reason yet to believe that the problem on the second side is
mastitis. It could very well be a blocked duct, which, as far as we
know, is not an infectious process. The other possibility, and if I am
not mistaken, the name of the antibiotic is not mentioned in the post,
is that the mother was not on the right antibiotic to begin with. A
commonly used one is amoxycillin, and it is completely inappropriate for
mastitis except in the rare case of streptococcal mastitis. Why do
mothers get better on the wrong antibiotic? Because mastitis often gets
better on its own, and it only appears as if the antibiotic has worked.
I would hang tight with this problem and I will bet the second breast
will get better on its own. If not, cephalexin 500 mg four times a day
is a good choice of antibiotics.
Jack Newman, MD, FRCPC
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