I had a patient that had MRSA in the breast. Her baby was only about 3
weeks old when mom got mastitis and was admitted with a severely plugged
milk duct and mastitis. Ultrasound therapy broke the plugged duct
slightly but not enough and finally a needle aspiration of the plugged
duct was done under ultrasound and the culture came back MRSA. Mom had 2
more aspirations of the very thick "green goo" as mom called it. She
continued breastfeeding baby throughout whenever baby was with mom, and
pumping regularly if baby was not here, and for 2 days she pumped the
side with MRSA due to the severe pain it caused her when she nursed on
that side. Baby stayed here in hospital with mom all but those 2 nights
If there was no green thick sludge in the expressed milk it was fed to
baby. It was quite a significant amount of thick green stuff and so it
did not blend into the milk when expressed, just kind of looked like a
big worm several inches long, so that milk was discarded. Mom had lots
of milk so it was not an issue to waste some and there was only a few
times that the stuff came out with expressing anyway. It was so thick
that it hardly would come out with expression, mostly had to be needle
aspirated. They got about an ounce of it the first time and about 10- 15
cc the last 2 times. The baby did fine, never had even the slightest
problem. She was a term baby that was thriving well prior to the mom's
infection. The baby is almost a year old now and still breastfeeding
very well. Mom has had no further problems and is very glad that she
stuck it out through the ordeal.  It was an interesting case, you could
see the stuff trying to make its way to the nipple like a snake and then
it would get so far and not go any further. I can't imagine the pain the
mother must have endured but she healed fast once the right antibiotics
were started and the aspirations were done. We were very fortunate that
she had a physician that never once suggested that she discontinue
breastfeeding, instead they constantly referred to the LC's and we
constantly researched for the appropriate plan. 

 

Pam Price IBCLC, RLC

Charleston SC  USA


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