Re: monilial mastitis

From: Charlie Chambers (cchamber@gorge.net)
Wed Mar 2 10:18:53 2005


Monilial mastitis seems to be the latest hot button topic. Colonization of the ducts seems hard to fathom in an otherwise immunocompetent host. Would like to see some data besides anecdotal evidence. ************************************************************************ ****

Charlie Chambers Hood River, OR cchamber@alumni.rice.edu

"Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ *******

On Mar 2, 2005, at 2:35 AM, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote:

> I’ve treated 2 that I presumed were monilial mastitis in the past 3
> years with exactly that same regimen.  They usually have a “stabbing
> glass” kind of pain in their breast.  The ones that I have treated did
> get better.
>
>  
>
> Glen
>
>  
>
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn
> D. Montgomery, M.D.
> Sent: Tuesday, March 01, 2005 6:55 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: monilial mastitis
>
>  
>
> Listers,
>
> I have a subject that I haven't seen addressed here before.  I think
> the hospital's lactation consultants must have recently gone to a
> conference and now are telling everybody that gets mastitis symptoms
> that they have monilial mastitis.  Now I am not talking about
> cutaneous yeast in the mother and/or thrush in the baby.  I am talking
> about mastitis where there is supposed colonization of the ducts,
> etc.  From what I am able to gather, this real diagnosis is hard to
> make, not to mention the treatment costs - if one uses diflucan, the
> cost is about $250 (Loading dose of 400 mg, followed by 200 mg daily
> for 10-14 days).
>
>  
>
> How often are y'all seeing this or making this diagnosis?  I have to
> be honest, prior to the recent onslaught here, I haven't treated a
> monilial mastitis in 17 years of practice.
>
> Lynn
>
>  
>
> Lynn D. Montgomery, M.D.
>
> Maternal-Fetal Medicine, OB/GYN
>
> Rocky Mountain Women's Health
>
> 2835 Fort Missoula Rd., Suite 304
>
> Missoula, Montana, 59804
>
> 406-549-0978
>
> fax 406-549-0987
>
> e-mail: apgar10@montanadsl.net
>
>  





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