IMAGES IN CLINICAL PRACTICE BILATERAL NEONATAL BREAST ENLARGEMENT ASSOCIATED WITH MASTITIS

A 1- month old baby girl presented with bilateral enlargement of the breast noticed at 2 weeks of life. The grandmother, following their tradition, commenced twice daily massaging of both breasts with warm water. This is to expel the mother’s breast milk which they believe the baby have sucked into her own breast. The baby’s breast continued to increase in size and 3 days before presentation, the left breast became painful. On examination the baby was febrile, temperature of 37.8oC with bilateral enlargement of the breasts (Figure 1). The left breast was inflamed and fluctuant. Aspiration with a 21Guage needle yielded thick pus. Incision and drainage was effected and baby placed on a 5-day course of ampiclox. The inflammation resolved and both breast returned t