Mastitis

Background

• Occurs due to bacterial colonization 2/2 areolar inflammation and glandular obstruction
• Often occurs during the first few weeks to months postpartum

Clinical Features

1. Fever/chills
2. Flulike symptoms
3. Breast exam shows erythematous region on breast w/ well-localized area of tenderness

Work-Up

• US useful to differentiate mastitis from breast abscess

Treatment

• There is no need to routinely interrupt breastfeeding with puerperal mastitis
  • Frequent breast emptying is therapeutic
• Abx
  • Indicated for severe pain or signs of systemic infection
    • Dicloxacillin 250mg QID x10–14d OR
    • Cephalexin 500mg QID x10–14d OR
    • Clindamycin 300mg QID x10–14d

Disposition

• If suspect breast abscess refer for immediate surgical drainage

Source

Tintinalli