This condition is common during lactation, especially the second week of puerperium, and during pregnancy. It rarely occurs at other times.
- There is severe breast pain
- There may be an area of induration.
- Aspirate with a big bore needle to confirm presence of pus.
The following needs to be emphasized for breast abscess:
- Do not delay incision and dependent drainage. If no pus, biopsy.
- Do not wait for fluctuation or abscess to point.
- Do not stop breastfeeding (unless the nipple is cracked or discharging, and in this case continue to express milk for the baby).
- Give antibiotics early. Most infections are due to Staphylococcus aureus and flucloxicillin 500mg 8 hourly for 1 week is appropriate.