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Nonpuerperal mastitis in adolescents
Tamar Stricker1, Francesca Navratil, Ishilde Forster
1University Children's Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland. Tamar.Stricker@kispi.unizh.ch
The Journal of Pediatrics
|February 24, 2006
Summary
Mastitis in non-lactating adolescents is uncommon, often without a clear cause. Treatment with amoxicillin-clavulanic acid is frequently successful, though recurrence can occur, particularly with bilateral breast cysts.
Area of Science:
- Pediatric Endocrinology
- Infectious Diseases
- Adolescent Medicine
Background:
- Mastitis is rare in non-lactating adolescents.
- Etiology of mastitis in this demographic is poorly understood.
Purpose of the Study:
- To summarize cases of mastitis in non-lactating adolescents.
- To identify potential causes and effective treatments.
Main Methods:
- Retrospective review of 22 cases of mastitis in non-lactating adolescents.
- Analysis of causative agents, treatment outcomes, and recurrence factors.
Main Results:
- Staphylococcus aureus was identified in 3 of the 22 cases.
- Serum prolactin levels were consistently normal.
- Amoxicillin-clavulanic acid provided successful treatment for most patients.
- Three patients with bilateral breast cysts experienced recurrent mastitis.
Conclusions:
- Mastitis in non-lactating adolescents is a rare condition.
- Staphylococcus aureus can be an causative agent.
- Oral amoxicillin-clavulanic acid is an effective treatment.
- Bilateral breast cysts may be associated with recurrent mastitis.