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Puerperal mastitis

Mastitis
Synonyms mammitis
Pronunciation
Classification and external resources
Specialty Gynecology
ICD-10 N61
ICD-9-CM 611.0
DiseasesDB 7861
MedlinePlus 001490
MeSH D008413
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Mastitis (also called mammitis) is inflammation of breast or udder tissue usually due to infection. Staphylococcus aureus is the most common pathogen responsible, but S. epidermidis and are occasionally isolated as well.

Mastitis can be classified as milk stasis, non-infectious or infectious inflammation and abscess. It is impossible to correlate this classification with clinical symptoms. In particular, milk stasis, non-infectious and infectious inflammation can be distinguished only by leukocyte count and bacteria culturing. Symptoms like fever, intensity of pain, erythema or rapid onset of symptoms can not be used to distinguish these.

Early stages of mastitis can present with local pain, redness, swelling, and warmth. Later stages also present with systemic symptoms like fever and flu-like symptoms and in rare cases an abscess can develop. However it is pretty common that symptoms develop very quickly without any warning.

Except in severe cases it is not necessary to wean a nursling because of mastitis; in fact, nursing is the most effective way to remove the blockage and alleviate the symptoms. Sudden weaning can cause or exacerbate mastitis symptoms and cause hyponatremic shock in the infant. Continued breastfeeding does not present any risk to the nursing infant and is very beneficial for the mother. The word mastitis uses combining forms of + . The word mammitis (/mæmˈts/) uses combining forms of + . They are synonymous in modern usage, and mastitis is the more commonly used synonym.


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