Nipple candidiasis

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. 

Erythromycin (Ery-tab) Nipple Candidiasis 333 mg orally three times daily x 10-14 days Second-line agent in penicillin-allergic patients... 

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... 

Immature immune system of neonates who usually acquire infection during birth to a mother with vaginal candidiasis or from exposure to infected bottle nipples or to skin of adult care giver. 

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