Dear Friends,
I am being challenged today! I just saw a mother at 8 weeks PP who 
developed suddenly, no plugs first, just swollen, red, streaky on left 
breast at 9 o'clock position, at 6 weeks. She was put on Keflex for 10 
days by her midwife which made her feel much better after 24 hours.
At seven weeks we developed a wedge of hardness above her left nipple. 
Very tender, not red. Fever and flu like symptoms again. She was sent to 
triage where they did a blood draw. She had an elevated white count. 
They did an ultrasound and found a mass three inches above her nipple. 
They thought it was cancer so they sent her to the cancer clinic where 
they did another ultrasound and a biopsy. It was not cancer. She was 
told it was a mass, some said an abscess, filled with phyegmon. She was 
put on Bractrim for 10 days again. They did another ultrasound that 
showed the mass was reducing in size at day 5. It was 1 cm by 3 cm but 
we don't know the current measurement, they just said it was reducing in 
size.
Now, the mother is leaving for a week long trip to Texas. Her 
antibiotics run out on Monday, she leaves on Tuesday.
We are worried that they didn't drain this or that it will flare up 
again after the antibiotics run out. I have never had an abscess that 
wasn't at the surface. I had never heard of "phyegmon".
The breast specialist said they see this all the time and it will be fine.
Thank you!

-- 

Barbara Robertson, MA, IBCLC, RLC
The Breastfeeding Center of Ann Arbor
bfcaa.com

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