In response: my comments in BOLD-KB
Date: Fri, 18 Aug 2000 23:31:20 +1000
From: Myleslara <[log in to unmask]>
Subject: Contaminated breast milk
Dear Lactnetters, could anyone please help me with a very alarming =
breastfeeding problem that I have never encountered before. The =
history...mother 37yrs, 1st baby now 8wks old. Mum had immediate =
difficulties BF (flattish nipples, one partly inverted)and was given =
nipple shields.
LATCH ASSISTANCE WOULD HAVE BEEN USEFUL IF IT WAS NOT GIVEN>
'
Got mastitis and was treated with 3 lots of AB's, Amoxil =
7days, Dicloxicillin 5days, and eventually Keflex for about a week, =
(dreadful I know).
WHY SO MANY MEDICATIONS FOR MASTITIS?
Result....persistent inflammation 4-6wks and thrush =
infection. When I met her I thought she had all the signs of an abscess. =
Had an ultrasound, nothing confirmed and it appeared to resolve. What =
did eventuate shortly after this was the most 'toxic' EBM I have ever =
seen. First there were long stringy clots, soon followed by thick, =
glutinous, soupy milk, so thick it will not even go through a strainer!! =
She has had Daktarin Gel treatment for the thrush. She had a culture of =
the milk done recently....no pathogens, blood, malignant cells or =
evidence of infection...??? So what could it be... my thoughts so far =
are....despite this lab report I think she may have had an abscess that =
has ruptured internally, possible do you think?
THE SOUPY STRINGY MILK MIGHT BE A RESPONSE TO POST MASTITIS. I WOULD NOT
CALL IT TOXIC. Just because she has a negative culture for thrush, does not
mean she does not have it, either. (Thrush, or some sort of fungal
infection, since we are not sure that the offensive fungus is really
candida.) How is the baby doing with this?KB
Ductal ectasia also =
possible, she said she had some discharge from this nipple antenatally?? =
MANY MOTHERS HAVE DISCHARGE WHILE PREGNANT-COLOSTRUM. IS THIS WHAT YOU MEAN?
Malignancy may be a remote possibility. Persistent thrush, perhaps =
needing more aggressive treatment. Her GP will not give 14 days of =
Dicloxacillin as I initially requested.
WERE YOU thinking that Diclox was for a possible abscess? IF SHE still has
pain, has she been treated with Diflucan, or another systemic antifungal?
So at the moment she is =
reluctantly weaning, expressing her BM, giving Bubs the (L) br milk and =
desperately trying to prevent this current infllammation from developing =
further. I am recommending of course thorough investigations (mammogram, =
ultrasound etc) later on. I would so muchly appreciate any and all =
advice. TIA. Lindsey.
Lindsey, why is she weaning? If the situation, pain, etc, seem to be
resolving, why is she feeling that she must wean?
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
mailto:[log in to unmask]
http://homepages.together.net/~kbruce/kbblact.html
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