Pathologie (Fach) / Geschlechtsorgane (Lektion)
Inflammation of the breast parenchyma that is frequently seen in nursing mothers two to four weeks postpartum.- Incidence: up to 10% of nursing mothers (particularly 2-4 weeks postpartum)
Etiology: Staphylococcus aureus (most common)
Clinical features:- Tender, firm, swollen, erythematous breast (generally unilateral)- Pain during breastfeeding- Reduced milk secretion- Flu-like symptoms, malaise, fever, and chills- Possible reactive lymphadenopathy
Diagnosis: Clinical - Breast milk cultures or imaging may be required if there is no response to initial treatment.
Treatment:- In nursing mothers: frequent emptying of the breast; breastfeeding with both breasts is recommended every 2–3 hours. - Analgesics (e.g., ibuprofen)- Cold compresses- Antibiotic treatment: Oral penicillinase-resistant penicillin or cephalosporin (e.g., dicloxacillin or cephalexin)
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