Neonatal Mastitis

Walsh, Margaret; McIntosh, K. A.

doi:10.1177/000992288602500802

Cited by 46 publications

(85 citation statements)

References 14 publications

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“…It occurs only in term infants, usually under the age of 5 weeks, with peak incidence at 3 weeks of age (1). The frequency of occurrence of neonatal mastitis in girls is twice that observed in boys (1,2).…”

Section: Discussionmentioning

confidence: 99%

Neonatal mastitis

Stauffer

Kamat

2003

Pediatric Emergency Care

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Section: Discussionmentioning

confidence: 99%

Neonatal mastitis

Stauffer

Kamat

2003

Pediatric Emergency Care

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“…[28][29][30] In our study, there were 18 patients diagnosed with either mastitis or breast abscess, of which 4 (22%) had fever and none had positive blood or CSF cultures. Multiple studies, either from older literature in the United States or more contemporary from abroad, have investigated omphalitis and necrotizing fasciitis in the newborn.…”

Section: Other Infectionsmentioning

confidence: 64%

Evaluation, management, and outcome of focal bacterial infections (FBIs) in nontoxic infants under two months of age

Vidwan

Geis

2010

Journal of Hospital Medicine

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BACKGROUND:Well‐appearing young infants with focal bacterial infections present to the emergency department (ED) and are often admitted for a sepsis evaluation of blood, urine, and spinal fluid. However, the risk of concomitant systemic infections (CSI) in this population is not well reported, specifically comparing febrile to afebrile infants. We hypothesized that afebrile, well‐appearing infants under two months of age with a defined focal bacterial infection on exam have a very low risk of CSI.METHODS:This retrospective study was conducted at an urban, academic, tertiary care pediatric hospital ED on patients seen from January 2000‐December 2005. Eligible infants were less than 60 days of age, well‐appearing on exam, and with normal‐for‐age vital signs who presented with a focal bacterial infection on exam. Exclusion criteria included immunodeficiency, indwelling catheter, previous admission for bacterial infection, or current use of systemic antibiotics. Main study outcome was risk of CSI in febrile and afebrile groups.RESULTS:One hundred ninety seven patients were included in the study population. Of these, 39 were febrile and 158 were afebrile. Four patients had a documented CSI: one case of S. pneumoniae bacteremia and three cases of E. coli urinary tract infection. Of these 4 infants, 3 were febrile (7.7% CSI risk) and 1 was afebrile (0.6%). Febrile infants had a significantly higher risk of CSI (OR 13.1, 95% CI 1.3, 129.5).CONCLUSIONS:CSI is very uncommon in afebrile, well‐appearing infants under 60 days of age with a focal bacterial infection. Journal of Hospital Medicine 2010;5:76–82. © 2010 Society of Hospital Medicine.

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“…A partir de las dos semanas de vida, la mastitis aparece con más frecuencia en el sexo femenino, con una proporción 2:1, debido a la mayor duración de la hipertrofia mamaria en las niñas. 8 En nuestra paciente, la lesión mamaria se diagnosticó, inicialmente, como mastitis por la coloración rojiza y el aumento de tamaño de la mama. Sin embargo, no asociaba signos inflamatorios a nivel local ni lesiones en la piel de alrededor ni aumento del tamaño de los ganglios linfáticos axilares, que es característico de las mastitis.…”

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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Neonatal Mastitis

Cited by 46 publications

References 14 publications

Neonatal mastitis

Neonatal mastitis

Evaluation, management, and outcome of focal bacterial infections (FBIs) in nontoxic infants under two months of age

Hemangioma mamario en una lactante con aparente mastitis. Caso clínico

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