This is posted with the patient's permission. She is expecting her fifth baby. In 
the past, she has developed mastitis "the minute her milk comes in".  It occurs 
sooner and her symptoms are more severe with each pregnancy.  She 
develops enormous swelling, red streaks, and temp of 105 almost immediately. 
She has had lengthy hospitalizations with IV antibiotics in the immediate 
postpartum period with her last two babies.  Her husband is a physician, and 
she is under the care of an infectious disease specialist.  He has helped with 
her last two situations, and has strongly discouraged her from breastfeeding 
again. Actually, she has never made it past the three week mark with lactation 
due to the severe reaction.  I suspect there could be a name for this - like 
autoimmune something - and she has mentioned staph, thinks it might be 
MRSA.  I've certainly never seen anything like it - it does seem as if her body 
reacts violently to lactogenesis. The plan this time is to immediately bind the 
breasts, and start IV antibiotics.  She is allergic to most of the common 
antibiotics, and can tolerate Zyvox and Lecithin.  Any experience with this?
Thanks
Julie Patton RN IBCLC
Huntsville, AL

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