title: Nipple pain, mastalgia and candidiasis in the lactating breast.
abstract: During lactation, persistently sore nipples or shooting breast pain in the absence of local or systemic signs may be symptoms of C. albicans infection of the nipples and/or breast ducts. The nipple may be erythematous or fissured, but the appearance does not resemble oral or vaginal candidiasis. Case 1 is a woman with sore nipples following a course of antibiotics. Case 2 is a woman with severe shooting breast pain which was worsened by antibiotic treatment. Treatment included topical and oral antifungal treatment for the mother in conjunction with an 'anti-candida' diet. The infant's mouth was also treated to prevent reinfection.
authors.affiliation: Family Planning Association, Richmond, Victoria.
authors.forename: L H
authors.initials: LH
authors.lastname: Amir
authors.forename: S
authors.initials: S
authors.lastname: Pakula
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001941:Breast Diseases / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D001942:Breast Feeding; D002177:Candidiasis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007774:Lactation; D009558:Nipples; D010146:Pain / Q000209:etiology
chemical_list: D000935:Antifungal Agents