Abstract
Neonatal mastitis and breast abscesses are uncommon. The most common causative agent is Staphylococcal aureus. A case of bilateral breast abscess due to Methicillin resistant staphylococcus aureus (MRSA) in a 11-day-old newborn baby, which responded well to surgical drainage and injection vancomycin is reported due to its rare presentation. Complications of neonatal mastitis are rare but have been reported. It is therefore essential to treat neonatal breast abscess aggressively including antibiotics and surgical drainage.
Highlights
Neonatal mastitis and breast abscesses are uncommon
Cases of mastitis usually resolve with use of antibiotics but when abscess is formed surgical drainage is needed
The child was discharged with complete cessation of pus from both the breasts after treatment with injection vancomycin for ten days and surgical drainage
Summary
Neonatal breast enlargement is common and probably due to fall in the level of maternal oestrogen at the end of pregnancy which triggers the release of prolactin from the pituitary gland of the newborn [1]. The patient was put on injection vancomycin intravenously, 8-hourly following the issue of culture report and continuing profuse discharge of pus. The child was discharged with complete cessation of pus from both the breasts after treatment with injection vancomycin for ten days and surgical drainage. The child was healthy and had no discharge of pus during the review seven days after discharge
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