Hi everyone. An update about the mom that I have been working with that had all of the problems. I finally convinced one of the military doctors (OB/GYN) to culture her breastmilk. It came back with HEAVY growth of Enterobacter Cloacae. I find this very fascinating. I talked to the pathologist and he said that this is a "fermenting" type of bacteria, which may explain the bubbles that this mom was expressing (some type of gas?). The culture was sensitive to Bactrim, so this is what the mom was prescribed. I was unable to convince them that she also needed Diflucan, but they did give her a tube of Miconazole for her nipples and baby's bottom. This bacteria is common in fecal matter so I am quite stumped as to how it was growing in her breastmilk. The doctors conferred that this mom does not need an ultrasound, and she is supposed to go back in and see them on Wed. I was very concerned about sepsis with this mom since she had been sick for so long, but her CBC was normal and she is no longer running fever. Thanks so much for everyone that helped me through this esp. Kathy A., Linda Smith, Linda Pohl, Trish Carrie and Trina Ammar. I am feeling better about this diagnosis, although I still would have liked to see an ultrasound done. Anyone that has had experience with this type of bacteria, please share.... Thanks Again, Pam Holland, IBCLC Savannah, Ga