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Fluconazole for postpartum candidal mastitis and infant thrush.
Ellen M Chetwynd1, Timothy J Ives, Patricia M Payne
1Maternal and Child Health Program, Department of Family Medicine, University of North Carolina at Chapel Hill, Box 7595, Chapel Hill, NC 27599-7595, USA.
Summary
Treating breastfeeding infant oral thrush and maternal candidal mastitis can be challenging. Simultaneous oral fluconazole treatment effectively resolved symptoms in both mother and baby.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Infectious Diseases
Background:
- Candidal mastitis and infant oral thrush are common in breastfeeding dyads.
- Treatment can be complex due to recurrent or persistent infections.
Observation:
- A lactating mother experienced fluctuating candidiasis, involving both topical and ductal sites.
- Her infant presented with oral thrush lacking typical white plaques, posing diagnostic challenges.
Findings:
- The mother's candidiasis varied in presentation and location based on treatment regimens.
- Simultaneous oral fluconazole administration led to symptom resolution in both mother and infant.
Implications:
- Highlights the importance of concurrent treatment for breastfeeding mothers and infants with Candida infections.
- Suggests oral fluconazole as an effective therapeutic option for challenging cases of mastitis and thrush.
- Underscores the need for careful diagnosis, especially when infant oral thrush presents atypically.