Just a thought, there has been A LOT of community acquired MRSA in 
United States in recent months.  Could this be a possibility in this 
case???  It appears from nationwide feedback, that the community 
acquired MRSA has been sensitive to bactrim and clindamycin pretty much 
universally in the US. 

Would be interested in update on this case when available!

Susan, MSN, CPNP

Chris Betzold wrote:

>I would change mother to medication that treats resistant bacteria like a 3 
>rd generation cephalosporin or augmentin.   I would order a US of the breast to 
>rule out an abscess if this has not already been done in the last few days. I 
>would run separate cultures of the milk and the nipple/areolar complex.  Good 
>luck. Chris Betzold NP IBCLC MSN
>
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