Candidiasis breast

Mastitis. Characterized by localized redness, tenderness, and warmth on one breast accompanied by fever and flulike symptoms. Although uncommon, symptoms also may be bilateral. Nipple candidiasis. Typical symptoms include nipple pain, itching, burning, and/or breast pain that persist after feeding. Gestational diabetes. See Chapter 40. 

Treat nipple candidiasis by applying topical ketoconazole, nystatin, or miconazole to the nipples after each feeding and by administering oral nystatin drops to the breast-feeding infant12 (Table 44-5). In severe or recurrent cases, the mother may be treated with oral fluconazole.12,14 Although messy, gentian violet applied topically to both the nipples and the infant s mouth is also effective for resistant cases.12... 

Lactation Penicillins are excreted in breast milk in low concentrations use may cause diarrhea, candidiasis, or allergic response in the nursing infant. 

Crohn s disease Crohn s disease patients are known to have an increased incidence of Gl and certain extraintestinal cancers. There have been some reports in the medical literature of breast and colon cancer in Crohn s disease patients who have been treated with metronidazole at high doses for extended periods of time. Candidiasis Candidiasis may present more prominent symptoms during therapy and requires treatment with a candicidal agent. 

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