At a conference I attended this last summer, a research group from
Australia talked about recurrent mastitis and subclinical staph
infection that retreats and returns.  When treated with a regimen of 2
days worth of Rifampin, the mastitis was cured and did not recur.  The
evidence is that sometimes the staph is reduced but not eliminated and
"hides" in the structures of the breast.  Rifampin is a medication that
helps the antibiotic penetrate the tissues and eliminate the staph.  The
cocci type of bacteria tend to form complexes (think about meningococcus
bacteria or streptococcus bacteria which during the body's fight may
form deposits of disabled bacteria and white cells that attach to
structures of the heart - rheumatic heart disease - joints - arthritis -
kidneys - glomerulonephrosis - etc.).  This causes blockage of the ducts
and stasis in the breasts.  This is the origin of the "strings" seen in
breast infections.  The rifampin breaks up these complexes and takes
care of the problem.  Ultrasound works to break up these complexes.  I
would rather treat the problem than just avoid it. Just my 0.2.

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Julieanne Hensby
Sent: Wednesday, January 16, 2008 1:04 PM
Subject: Montgomery's Tubercles & recurrent mastitis

Hi Everyone
Has anyone had any experience with a Montgomery gland being the
underlying issue for recurrent blocked ducts/mastitis?
I'm seeing a mum tomorrow with what I suspect to be this problem. She is
feeding her fourth baby (9 mths) & had similar problems with the third
but not the first two babies, who were twins.
The blocked ducts always occur in the same area of the left breast & so
far the only effective treatment has been ultra-sound.
She is under pressure from family & friends to wean but does not want
to. If my suspicions prove to be true my first instinct would be to
suggest that she gradually wean completely from the affected breast and
continue feeding with the other. Any comments/suggestions would be
appreciated.
Cheers, Julieanne

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