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Date: | Sat, 10 Apr 2010 22:02:02 -0400 |
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Hmm, doesn't sound breast-related to me. If you go and the breast
exam is normal, do the usual review of systems and see if she is still
having UTI symptoms. Perhaps the Keflex may not be working and she
needs a different antibiotic? Even if she is asymptomatic other than
the fever, her doctor should know. The Keflex may be masking
something cooking elsewhere in her body...uterine infection, sepsis?
Good luck!
Annie Brown, FNP, IBCLC
>
> Okay, here's an unusual one!!!!
>
> Tomorrow I am going to work with a mom for the first time who has a
> baby who is a week old. When her milk arrived 3 days ago, she
> started to get a really high fever of 103 to 105 after each
> breastfeeding. The fever stays elevated for about an hour and then
> returns to the 99's. This has been going on for 3 days. She also has
> terrible chills for that period of about an hour after each nursing
> session. She is being treated with Keflex for a UTI. Her breasts
> are draining well. I am going to meet her for the first time
> tomorrow, but from her description they do not appear to have a
> traditional mastitis. No redness, swelling, pain etc. Breasts are
> draining well. It is just that she has this miserable fever and
> chills after pumping or breastfeeding.
>
> So...what is this and is there anything I can do about it? I have
> searched the archives and haven't come up with any constructive
> suggestions, except for trying belladonna, which I will suggest to
> her, though I do not know anything about dosage etc.
>
> I told her on the phone that I was happy to do the consult, but that
> I am not at all sure there is anything I can do to make this go
> away. I thought I would send this out to all of you, with the hope
> that someone could tell me how to fix this.
>
> Thanks,
> Kathy Lilleskov RN IBCLC (hoping for the miracle cure to fall from
> cyberspace before my visit tomorrow)
>
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