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Date: | Thu, 30 Sep 1999 21:33:46 -0500 |
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Most of the women I have seen with abscess formation have presented in my
office prior to febrile symptoms. Their most striking sx is a mass which
has rapidly grown. There is typically a reddened area (erythema) above the
lump, and it is tender to very painful. The surgeon I work with told me
once that prob. 25% of patients presenting in his office with abscess are
afebrile. So fever is not always a symptom we can rely on. In fact, some
of the new info on mastitis in general makes the suggestion that deep pain
is more commonly a dependable sx of mastitis than is fever. Lisa Amir's
wonderful new article in JHL reviewing the histories of 107 women presenting
to an emergency room with mastitis states: "Not all the women were febrile:
almost 40% were afebrile and only 27% had a temp. of 38.5 degrees C or
higher...Therefore, the evidence for the presence of a fever of 38.5 degrees
C in women with mastitis needs to be reexamined."
Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html
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