Evaluation and Treatment of Mastitis in Infants

Montague, Edwin C.; Hilinski, Joseph A.; Andresen, Deborah; Cooley, Anthony

doi:10.1097/inf.0b013e3182a06448

Cited by 13 publications

(14 citation statements)

References 13 publications

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“…Tampoco presentaba síntomas sistémicos, como fiebre, irritabilidad y rechazo de tomas, como puede existir en los lactantes con mastitis. La importancia de llegar a un diagnóstico adecuado de mastitis se debe a que más de la mitad de los casos pueden progresar hacia la formación de un absceso mamario, [9][10][11] así como la aparición de complicaciones, aunque estas son poco frecuentes. Las graves complicaciones que pueden producirse a partir Figura 2.…”

Section: Discussionunclassified

Hemangioma mamario en una lactante con aparente mastitis. Caso clínico

Jiménez

Navarro

Domínguez

et al. 2018

Arch Argent Pediatr

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Presentación de casos clínicos RESUMENLa patología mamaria en pediatría es infrecuente. El hallazgo de una masa a nivel mamario en un lactante es una situación poco común. Los posibles diagnósticos a esta edad son absceso mamario, mastitis, ingurgitación mamaria por estimulación hormonal materna y hemangioma. Es importante llegar al diagnóstico adecuado para emplear un tratamiento acorde y evitar la aparición de complicaciones de dichas patologías. Se presenta un caso de una lactante con una masa en la mama derecha detectada desde el nacimiento. Inicialmente, se trató como una mastitis, pero dada la mala evolución, se plantearon diagnósticos diferenciales y se concluyó que se trataba de un hemangioma. Debido a la ulceración de la lesión, junto con el riesgo existente de desarrollar hipoplasia mamaria, se decidió iniciar tratamiento con propanolol, con resolución casi completa de la tumoración. Palabras clave: hemangioma infantil, enfermedades de la mama, úlcera, propanolol. ABSTRACTMammary pathology is infrequent during childhood. It is rare the probability of finding a breast mass in an infant. The most frequent possible diagnoses at this age are breast abscess, mastitis, breast engorgement due to maternal hormonal stimulation and hemangioma. Reaching the proper diagnosis is essential in order to apply a suitable treatment and avoid the potential disease complications. We present the case of a female infant having a mass in the right breast from birth. Initially the entity was treated as mastitis. Nevertheless, the bad evolution made necessary considering the differential diagnosis. It was concluded to be a hemangioma. Due to the lesion ulceration and the potential risk of developing breast hypoplasia, treatment with propranolol was started. The tumor was almost completely resolved.

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Section: Discussionunclassified

Hemangioma mamario en una lactante con aparente mastitis. Caso clínico

Jiménez

Navarro

Domínguez

et al. 2018

Arch Argent Pediatr

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“…Bununla birlikte, intrauterin dönemde geçen maternal östrojenin gebelik sonrasında azalması ile yenidoğanda prolaktin salınımının tetiklendiği ve yüksek prolaktin düzeyinin de geçici meme hipertrofisine sıklıkla neden olduğu bilinmektedir. Bu durumda bebeğin memesine yapılan masaj veya sıkma gibi girişimler memedeki yağ dokusunun nekrozuna ve cilt bütünlüğünün bozulmasına yol açarak mastit veya meme apsesine neden olmaktadır (7,8) . Enfeksiyonlara göreceli olarak daha yatkın olan yenidoğan bebeklerde neonatal mastit mevcut literatürde bildirilen olgulara göre ülkemizde biraz daha sık görülmektedir (3)(4)(5)(6) .…”

Section: Discussionunclassified

“…Neonatal mastitte en sık yol açan etken S. aureus'tur. Daha az sıklıkta olmak üzere gram-negatif (4,8) . Olgumuzda literatüre uyumlu olarak metisilin duyarlı S. aureus üretildi.…”

Section: Discussionunclassified

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Neonatal Mastitis After Breast Massage: A Case Report

İnce¹,

Kanık²,

Eliaçık³

et al. 2016

Terh

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ÖZMastit ve meme apsesi, yenidoğan döneminde oldukça ender görülen enfeksiyonlardır. Fizyolojik meme hipertrofisi olan yenidoğan bebeklere uygulanan meme masajı cilt bütünlüğünü bozarak mikroorganizmaların yayılımını kolaylaştırmakta ve neonatal mastit gelişimine neden olmaktadır. Bu olgu sunumunda meme masajı sonrası neonatal mastit gelişen bir yenidoğan olgusu sunularak, erken dönemde tanı ve tedavisi gerçekleşmediği takdirde ciddi komplikasyonlara yol açabilen neonatal mastite dikkat çekilmek istenmiştir.Anahtar kelimeler: Yenidoğan, çocuk, neonatal mastit ABSTRACT Mastitis and breast abscess are very rare infectious conditions seen during the neonatal period. Although the etiology has not been clarified yet, breast massages applied to the newborns that have physiologic breast hypertrophy disrupt dermal integrity, facilitate dissemination of microorganisms and lead to manifestations of neonatal mastitis. Herein, a newborn case with neonatal mastitis developed after breast massage was presented to attract attention to neonatal mastitis with serious complications, if early diagnosis and therapy can ot be accomplished.

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“…You obtained a blood culture (reported as positive in 4% of infants 5 ), and admit her to the hospital for parenteral antistaphylococcal antibiotics, particularly for MRSA. 6 You were surprised when the pediatric surgeon declined to either aspirate the fluctuant area or to perform an incision and drainage procedure for culture and for therapeutic reasons. 5,6 You assumed that, as a newborn, she was potentially at risk for extensive cellulitis, osteomyelitis, or necrotizing fasciitis, but not meningitis.…”

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confidence: 99%