Dear Pam, This case that you have been discussing is fascinating. I would like to see if it is possible to get the milk cultured. In a recurring case that I had dealt with, I discovered that mom was constantly sleeping on one side with her arm tightly positioned at the breast. It acted as an underwire bra. We changed sleeping positions and added pillows (she had a very hard mattress), and then mastitis did not recur. Go back to considerations about plugged ducts. Does she have straps or slings that pose constant pressure on the breast? Please keep us posted on this case. Debbie Albert, IBCLC