This case report illustrates the difficulties inherent in treating candidal mastitis in lactating women and concurrent thrush in the breastfeeding baby. This mother's candidiasis vacillated from topical to ductal, depending on which medications were being used over the course of several months. Her baby's oral thrush was unique in that there were never any white plaques visible on his oral mucosa. Ultimately, both mother and child were treated simultaneously with oral fluconazole, with a relief of symptoms in both individuals.
Heinig MJ, Francis J, Pappagianis D. Mammary candidosis in lactating women. J Hum Lact. 1999;15:281-288.
2.
Amir LH. Candida and the lactating breast: predisposing factors. J Hum Lact. 1991;7:177-182.
3.
Tanguay D, McBean MR, Jain E. Nipple candidiasis among breastfeeding mothers. Can Fam Physician. 1994;40:1407-1413.
4.
Amir LH, Garland SM, Dennerstein L, Farish SJ. Candida albicans: is it associated with nipple pain in lactating women?Gynecol Obstet Invest. 1996;41:30-34.
5.
Brent NB. Thrush in the breastfeeding dyad: results of a survey on diagnosis and treatment. Clin Pediatr. 2001;40:503-506.
6.
Hoppe JE, Hahn H. Randomized comparison of two nystatin oral gels with miconazole oral gel for treatment of oral thrush in infants. Infection. 1996;24:136-139.
7.
Thomassen P, Johansson VA, Wassberg C, Petrini B. Breast-feeding, pain and infection. Gynecol Obstet Invest. 1998;46:73-74.
8.
Huggins KE, Billon SF. Twenty cases of persistent sore nipples. J Hum Lact. 1993;9:155-160.
9.
Livingstone V, Willis C, Berkiwitz J. Staphylococcus aureus and sore nipples. Can Fam Physician. 1996;42:654-659.
10.
Hoover K, Wilson-Clay B. The Breastfeeding Atlas. Austin, TX: Lact News Press; 1999.
11.
MacDonald H. Candida: the hidden deterrent to breastfeeding?Can Nurse. 1995;91:27-30.
12.
Hale TW. Medications and Mother's Milk. Amarillo, TX: Pharmasoft Medical; 1998.
13.
Amir LH, Pakula S. Nipple pain, mastalgia and candidiasis in the lactating breast. Aust N Z J Obstet Gynaecol. 1991;31:378-380.
14.
Siberry GK, Iann R. The Harriet Lane Handbook: A Manual for Pediatric House Officers. St Louis, MO: Mosby; 2000.
15.
Novelli V, Holzel H. Safety and tolerability of fluconazole in children. Antimicrob Agents Chemother. 1999;43:1955-1960.
16.
Schwarze R, Penk A, Pittrow L. Treatment of candidal infections with fluconazole in neonates and infants. Eur J Med Res. 2000;23:203-208.
