Primarius Milos Pocekovac MD, PhD
Prof Ljiljana Bukarica MD, PhD
Gordana Lukic MD
What is mastitis?
Neonatal mastitis is a rare bacterial infection of the breast tissue. Usually it appears in one breast but it can happen that both breasts are affected. It appears several days after birth, usually during the first two weeks, and it is manifested as a swelling, redness and elevated temperature Most common cause is a Staphylococcus aureus infection, but sometimes the causative factor can be, Escherichia coli, Streptococcus group B, Peptostreptococcus, Bacteroides. In the early stages, antibiotics (flucosalicin) can control the infection, but if there is ultrasound confirmed collection an incision has to be made. Even though in this case it is easy to perform an incision of the change the procedure can lead to secondary amasty Also during the incision around the areola needs to be avoided, if possible and perform just an aspiration with a needle and introduce antibiotic therapy.
Cellulitis is a rare infection of the breast and it is difficult to differentiate from the inflammatory breast cancer and benign erythema of the breast. Pain is the most characteristic symptom of cellulitis connected to redness, swelling and warmth. Treatment relays on antibiotics.
Epidermoid cysts are discrete knots in the skin, which commonly are referred to as glands, or atheroma. There cysts are common in the skin of the breast but they can get infected and form a local abscess (see photo). The best treatment is a small incision followed by drainage, and not aspiration, due to the consistency of the content of the abscess.