What is the definition of Breast Infection?

A breast infection is an infection in the tissue of the breast.

Normal

What are the alternative names for Breast Infection?

Mastitis; Infection - breast tissue; Breast abscess - post partum mastitis; Breastfeeding - mastitis

What are the causes for Breast Infection?

Breast infections are usually caused by common bacteria (Staphylococcus aureus) found on normal skin. The bacteria enter through a break or crack in the skin, usually on the nipple.

The infection takes place in the fatty tissue of the breast and causes swelling. This swelling pushes on the milk ducts. The result is pain and lumps in the infected breast.

Breast infections usually occur in women who are breastfeeding. Breast infections that are not related to breastfeeding might be a rare form of breast cancer.

What are the symptoms for Breast Infection?

Symptoms of a breast infection may include:

  • Breast enlargement on one side only
  • Breast lump
  • Breast pain
  • Fever and flu-like symptoms, including nausea and vomiting
  • Itching
  • Nipple discharge (may contain pus)
  • Swelling, tenderness, and warmth in breast tissue
  • Skin redness, most often in wedge shape
  • Tender or enlarged lymph nodes in armpit on the same side
Breast

What are the current treatments for Breast Infection?

Self-care may include applying moist heat to the infected breast tissue for 15 to 20 minutes four times a day. You may also need to take pain relievers.

Antibiotics are very effective in treating a breast infection. If you take antibiotics, you must continue to breastfeed or pump to relieve breast swelling from milk production.

In case if the abscess does not go away, needle aspiration under ultrasound guidance is done, along with antibiotics. If this method fails to respond, then incision and drainage is the treatment of choice.

What is the outlook (prognosis) for Breast Infection?

The condition usually clears quickly with antibiotic therapy.

What are the possible complications for Breast Infection?

In severe infections, an abscess may develop. Abscesses need to be drained, either as an office procedure or with surgery. A wound dressing would be needed to help with healing after the procedure.Women with abscesses may be told to temporarily stop breastfeeding.

When should I contact a medical professional for Breast Infection?

Call your provider if:

  • Any portion of your breast tissue becomes reddened, tender, swollen, or hot
  • You are breastfeeding and develop a high fever
  • The lymph nodes in your armpit become tender or swollen

How do I prevent Breast Infection?

The following may help reduce the risk of breast infections:

  • Careful nipple care to prevent irritation and cracking
  • Feeding often and pumping milk to prevent the breast from getting swollen (engorged)
  • Proper breastfeeding technique with good latching by the baby
  • Weaning slowly, over several weeks, rather than quickly stopping breastfeeding

REFERENCES

Dabbs DJ, Weidner N. Infections of the breast. In: Dabbs DJ, ed. Breast Pathology. 2nd ed. Philadelphia, PA: Elsevier; 2017:chap 3.

Dabbs DJ, Rakha EA. Metaplastic breast carcinoma. In: Dabbs DJ, ed. Breast Pathology. 2nd ed. Philadelphia, PA: Elsevier; 2017:chap 25.

Dinulos JGH. Bacterial infections. In: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 9.

Klimberg VS, Hunt KK. Diseases of the breast. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 35.

  • Condition: Granulomatous Mastitis (GLM) in Multiparae during Pregnancy and Lactation
  • Journal: Medicine
  • Treatment Used: Conservative Symptomatic Treatment
  • Number of Patients: 13
  • Published —
This study reported on granulomatous mastitis (GLM) in multiparae (several births) patients and the effectiveness conservative symptomatic treatment.
Clinical Trial
  • Status: Recruiting
  • Phase: N/A
  • Intervention Type: Other
  • Participants: 75
  • Start Date: December 1, 2020
Physical Therapy Intervention for Puerperal Mastitis in Breastfeeding Women
Clinical Trial
  • Status: Recruiting
  • Phase: N/A
  • Intervention Type: Procedure
  • Participants: 300
  • Start Date: November 1, 2020
Randomized Controlled Trial for 'Focus Clearing + Whole Breast Exploration and Washing + One-Stage Micro Plastic Surgery' Treatment for Granulomatous Lobular Mastitis