Breast infection Flashcards
1
Q
What is breast infection caused by?
A
- Staph aureus
- Bacteria enters through break in skin, usually nipple
- Occur in breast-feeding women
- Infections unrelated to breastfeeding msust be differentiated from inflammatory breast cancer (highly malignant and rare)
2
Q
What is mastitis?
A
- Occurs during lactation
- By S. Aureus
- Breastfeeding ban be continued
- BNF advises to treat if ‘systemically unwell, nipple fissure, if symptoms do not improve after 12-24hrs of effective milk removal’
3
Q
What is the first line antibiotic for mastitis?
A
- Flucloxacillin 10-14 days
- Breastfeeding to continue during this
- Untreated may progress to abscess
4
Q
What is the treatment for breast cellulitis?
A
Flucloxacillin promptly
5
Q
What is periductal mastitis?
A
- Presents at younger age than duct ectasia
- May present w/ features of inflammation, abscess or mammary duct fistula
- Strongly associated w/ smoking
- Rx → abx
6
Q
What are features of breast abscess?
A
- Lactational mastitis common cause
- Infection w/ staph aureus
- O/E → tender fluctuant mass
- Rx → Abx + USS guided aspiration
- Overlying skin necrosis indication for surgical debridement
7
Q
What are features of tuberuclosis in relation to the breast?
A
- Rare in western countries, usually secondary TB
- Affects women later in child bearing period
- Chronic breast or axillary sinus is present in up to 50% cases
- Diagnosis → biopsy culture + histology
