I just saw a mom with matitis. Second one in 4 to 5 weeks. Symptoms started with pain in right breast in middle of the night and a few hours later a burning left nipple. Right side did not burn but no other description. Left side had a few hours of superficial burning then self resolved. No evidence of thrush in baby, moms nipple looked OK. Shortly after burning on left resolved mom developed body aches, 101+ temp and redness on right breast. The last episode of mastitis was on the right also treated with frequent nursing and ten days of cephalexin. I started this mom on cephalexin again for 10 days. Baby nurses in a cross cradle hold in day and side lying at night. Baby sleeps with mom "like velcro" This is mom's second baby, no mastitis with the first. I reviewed risk factors with mom, cracked nipples (no) fatigue (she has a 2 year old) stress (no) tight bra (maybe) baby does drain the breasts well but better on the left, no symptomatic blocked ducts. Any other ideas? Treat for 14 days? Tx, Rob Rob Cordes, DO, FAAP, FACOP general pediatrician Wilkes Barre PA mailto:[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