I am trying to help a mom who at 4 wks postpartum developed breast and nipple pain. She is pumping for a small premie baby who has never bf yet. No visible signs of yeast anywhere in mom or baby, but mom had just finished antibiotics for endometritis. She did not have typical presentation, but did describe some itching and pain worse between feedings. (p.s. she says her uterine infection was not quickly identified, she had atypical presentation). Her doc would not give her anything but nystatin cream, and I suggested she see a dermatologist but she did not. The nystatin did not help. *However the confounding thing is that she has experienced intermittent fever, chills, and headache, which she manages to keep at bay with antipyretics.* I examined her closely and her breasts and nipples appear normal. No peeling, flaking, no redness, heat, no lumps, etc. Her exquisite "bilateral" pain is on her nipples and right under the areolas with a "9" rating on a 0-10 pain scale. Another LC watched her pump and says everything looks good with that. She uses Lactina double and appears to use it, clean it, sterilize correctly. Last week another LC found a clogged duct and that resolved with standard measures. Her doc says to me she does not have yeast and she does not have mastitis. He believes she is pumping too much and says he is sending her to a breast specialist. I sent my report to him stating I feel she is pumping appropriately and that is not the problem. I think it may be mastitis (an atypical presentation?) and could be a yeast co-infection. Have any of you seen fever, chills, malaise just with a yeast problem? She is in her twenties and not known to be a diabetic. Laurie Wheeler, IBCLC, MN, RN Violet Louisiana, s.e. USA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html