Hi Linda,

     I have many questions from your posting and just thought it would be
helpful to have a little more information


	1.  What if any were the mothers and baby's clinical manifestations besides
fever  of unknown etiology?


	2.   How was the breast milk sample obtained?  Did they prep the skin and do a
clean catch?
	3.   Did you speak with the physician regarding his thoughts?
	4.   Was baby ill at the time?

	5.   Did you actually see the culture report? Did it demonstrate Streptococcus
Group  A, Group  B or non Group  A non Group B?Without any other signs or
symptoms, the recommendation to stop breastfeeding is unfortunate.  Given the
fact that one of the treatments of mastitis is to frequently breastfeed!  I know
you said there were no signs of mastitis.   Perhaps she had a sub-clinical case
of mastitis with no outward signs  re:  redness, pain, tenderness etc but low
levels of bacteria. How high was her fever?  It would be interesting for you to
see the report if you can get your eyeballs on it:)

Good luck,
Colleen McKeown M.S.N., IBCLC
IBCLC since 1989
South Elgin, Illinois





________________________________
From: Lactatio <[log in to unmask]>
To: [log in to unmask]
Sent: Fri, July 30, 2010 12:08:26 PM
Subject: Breastmilk culture

Hello, Wise Ones,
I have a question from a colleague.  A nursing mother had a fever of unknown
origin, so her MD decided to culture her breastmilk to see if it was the source
of the fever.  She had absolutely no signs of mastitis.  The culture grew Strep
so she was told she couldn't breastfeed the baby.  The question is:  Are there
any published studies that show that there is no value to routine culturing of
breastmilk, especially in the absence of symptoms other than fever?  He would
like to give the mom some ammo to bring to her doctor.
Linda Anderegg, BSN, RNC, IBCLC in Chicago





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