Imaging Findings of Neonatal Mastitis
A 13-day-old female neonate with an unremarkable antenatal history presented to the Paediatric Outpatient Department (OPD) with complaints of inconsolable crying and a painful swelling involving the right breast. The swelling had increased in size over three days. There was a history of massaging th...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2025-01-01
|
| Series: | Indian Journal of Neonatal Medicine and Research |
| Subjects: | |
| Online Access: | https://www.ijnmr.net/articles/PDF/2431/74648_CE[Ra1]_F(SHU)_QC(NN_SHU)_PF1(VD_SHU_SS)_PFA_NC(SHU)_PB(VD_SHU)_PN(SHU).pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | A 13-day-old female neonate with an unremarkable antenatal history presented to the Paediatric Outpatient Department (OPD) with complaints of inconsolable crying and a painful swelling involving the right breast. The swelling had increased in size over three days. There was a history of massaging the breast by the parents to express milky nipple discharge one week prior. Systemic examination was unremarkable, and the baby was awake, alert, and irritable. Local examination revealed a fluctuant, tender swelling in the right breast’s retroareolar and lower outer quadrant, associated with warmth, erythema, and increased breast volume [Table/Fig-1a]. Blood investigations showed an increased white blood cell count of 16,720/cu.mm, with 37.3% neutrophils, 55.1% lymphocytes, 2.7% eosinophils, 0.4% basophils, and 4.5% monocytes. Following a provisional diagnosis of neonatal mastitis, the patient underwent an Ultrasound (USG) examination. The USG of the right breast revealed an ill-defined heteroechoic area measuring approximately 3.7×3.1×1.3 cm in the right retroareolar region, showing peripheral vascularity with an anechoic area within it, suggestive of mastitis with abscess formation [Table/Fig-1b]. Fluid aspiration confirmed pus, which was sent for culture. The culture revealed Methicillin-resistant Staphylococcus aureus, and the patient was treated with syrup linezolid at a dosage of 10 mg/kg/day in two divided doses for 14 days. The patient is currently under follow-up and doing well. |
|---|---|
| ISSN: | 2277-8527 2455-6890 |