Mastitis & Breast Abscess, Infant

Mastitis & Breast Abscess, Infant



Cynthia Christy, MD



Basic Information



Definition


Infant mastitis or breast abscess is breast inflammation, often occurring with abscess formation in the first 2 months of life.



ICD-9-CM Codes



771.5 Neonatal infective mastitis

778.7 Neonatal noninfective mastitis


Epidemiology & Demographics



• The overall incidence is low. The highest incidence was seen in the 1940s and 1950s, during the staphylococcal epidemics in hospital nurseries.

• This condition occurs only in term infants because premature infants lack full mammary development.

• Mastitis occurs at age 2 to 8 weeks of life and usually peaks in the third week.

• The female-to-male ratio is 2:1.

• Bilateral breast involvement is rare.


Clinical Presentation



History



• Increased swelling and redness of the breast.

• Discharge from the affected nipple may be reported.

• Signs of systemic illness are absent.


Physical Examination



• Fever present in 25% of patients

• Variable irritability

• Breast tenderness on palpation

• Marked erythema and induration of affected breast

• Breast fluctuance and warmth variably present

• Other possible skin findings:
image More extensive cellulitis beyond the mammary area
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Jun 19, 2016 | Posted by in PEDIATRICS | Comments Off on Mastitis & Breast Abscess, Infant

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