A woman called today to ask my advice. She relates that at 10 days postpartum she developed what her midwives diagnosed as bilateral mastitis, and was treated with a 10 day course of Dicloxacillin. She relates that she has inverted nipples, so was wearing "a too tight bra and nipple shields" in an attempt to improve the ease of the baby's latch. Initially she developed a 101.5 fever and bilateral breast redness, warmth, and pain throughout both breasts except where the nipple shield covered. She stopped the use of the shields, purchased a well fitting bra, and started the antibiotic. Symptom improvement occurred after 5 days. Upon completion of the first course of antibiotics she noted the breast tissue remained tender to touch, especially the lower half bilaterally. The fever had resolved. The right breast had a "wedge" of inflamed tissue at 9 o'clock. She then underwent a 10 day course of Keflex with improvement seen in the "wedge" area. Now, on day 21 she has developed a circular area of breast tissue at 3 o clock on the right breast and the lower half of the breasts remain tender, no warmth or redness. She relates the nipples are intact and nontender, she has recently weaned the baby off of a breast shield, and she has the most difficulty latching on the right side. She reports let-down "stings". She recently had a normal bilateral breast sono. I have never encountered "bilateral generalized mastitis", am wondering about other possible causes. We are exploring whether there is a yeast component. Your collective wisdom is requested! *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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