BREAST ABSCESS

This condition is common during lactation, especially the second week of puerperium, and during pregnancy. It rarely occurs at other times.

Clinical Features

  • There is severe breast pain
  • Fever
  • There may be an area of induration.
  • Aspirate with a big bore needle to confirm presence of pus.

Management

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.