Bilateral breast abscess in a neonate – A case report

Abstract

Introduction: Neonatal mastitis and breast abscesses are uncommon. The most common causative agent is Staphylococcal aureus. Case Report: A case of bilateral breast abscess due to Methicillin resistant staphylococcus aureus (MRSA) in a 11-day-old newborn baby, which responded well to surgical drainage and injection vancomycin is reported due to its rare presentation. Conclusion: Complications of neonatal mastitis are rare but have been reported. It is therefore essential to treat neonatal breast abscess aggressively including antibiotics and surgical drainage.

Bilateral Breast Abscess in a Newborn Baby

“…It is observed in the rst 1-6 weeks of life, with incidence increasing in the 2nd -3rd weeks (5,(8)(9)(10)(11). Mostly unilateral, there are cases with bilateral mastitis developing in the literature, as in our case (12,13). Generally, it is observed 2 times more in girls; however, no sex difference was determined for the rst two weeks of life.…”

Bilateral Neonatal Breast Abscess in a Well-Appearing Neonate

“…Among the 32 cases in this report, half had undergone massage of the neonatal breast tissue and three cases had presented as bilateral breast abscess. A literature search revealed only three additional case reports of single cases of neonatal bilateral breast abscess in recent history [2,3,6].…”

“…It occurs when the secretory ducts become blocked or when the overlying skin is broken. Neonatal mastitis occurs more in a 2-3:1 male: famale ratio and has a peak incidence in the third week of life [2]. If untreated, it may progress to abscess formation, which may to lead to septicaemia and haematogenous spread to other organs.…”

“…Bilateral abscess is rarely reported compared to unilateral cases [2,4,5]. It is observed that neonatal breast massage is a potential risk factor for mastitis and abscess formation [3,4] Case Report A 14-day-old term, normally delivered, female baby presented with bilateral breast swelling and redness associated with fever for a duration of three days.…”

Neonatal Bilateral Breast Abscess

“…Yaşamın ilk 1-6 haftasında görülmekle birlikte sıklığı 2-3. haftalarda artar (5,(8)(9)(10)(11). Çoğunlukla tek taraflı olmakla birlikte bizim olgumuzda geliştiği gibi literatürde bilateral mastit gelişen olgular bildirilmiştir (12,13). Genel olarak kızlarda iki kat kadar daha fazla görülür ancak yaşamın ilk iki haftasında cinsiyet farklılığı olmadığı belirlenmiştir.…”