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Lactational mastitis


Inflammatory disease of the mammary gland caused by various pyogenic microbes, mainly staphylococcus and Escherichia coli. Most often, the infection penetrates the nipple cracks that appear.
Symptoms and course:
The onset of the disease is acute: multiple chills, temperature 38 ± C and higher. The skin over the area of ​​inflammation is hyperemic (hot and red), saphenous veins are dilated, there are cracks in the nipples, axillary lymph nodes are sensitive to palpation. At the beginning, the infiltrate has no clear boundaries, which are determined later, then during suppuration, the seal softens. With the transition of the process to purulent the patient's condition worsens, intoxication increases, leukocytosis and ESR in peripheral blood increase.
Treatment begins at the first signs of the disease. Prescribe antibiotics oxacillin, lincomycin, methicillin and others in combination with compresses (Vishnevsky ointment, alcohol). Lactation should be suppressed. The child is fed with donor milk. Mother and child are isolated from all. At suppuration surgical intervention is shown (see hl. Surgical diseases).