Ms. LTL (27 years old, Hanoi ) came to Hong Ngoc General Hospital for examination with swelling and pain in her right breast. Through examination, the doctors found an abscess nearly 2cm in size near the nipple of Ms. L's right breast, with a lot of pus and increased vascularity around it, diagnosing a breast abscess.
Immediately afterwards, the medical team performed an intervention to drain the abscess, wash the pus, prevent the risk of the abscess spreading, and at the same time ensure the patient's breast aesthetics.
Ms. L is one of many young patients at Hong Ngoc General Hospital who were diagnosed with breast abscesses even though they had never been pregnant or given birth. Doctors warn that this disease can occur at any age and if not treated promptly can cause many dangerous complications.
According to MSc. Dr. Nguyen Thi Hong On, Department of Obstetrics and Gynecology, Vinmec Phu Quoc International General Hospital, breast abscess is a type of bacterial infection that causes swelling, redness, painful lymph nodes and possibly a foul odor in the breast. The disease can be diagnosed through common signs of breast abscess such as:
The patient had high fever and chills.
Breasts are swollen - hot - red - painful, when examined there are soft nodules, there are depressed fluid-filled pockets. Axillary lymph nodes are painful, milk has yellow pus.
Breast ultrasound shows multiple fluid-filled sacs.
Blood test: increased neutrophils
CRP (C-reactive protein) test increased.
Puncture the abscess, culture bacteria and make antibiotic susceptibility test.
In some cases, a breast abscess can be a sign of breast cancer.
Doctors at Hong Ngoc Hospital said that breast abscess is a common condition in breastfeeding mothers. Symptoms such as pain, swelling, fever, edema... not only affect health and daily life, but also cause anxiety and insecurity.
About 10% to 30% of breast abscesses occur in women after pregnancy and while breastfeeding. Breast abscesses can also occur in women who are overweight, have large breasts, or who do not maintain good personal hygiene.
One type of breast abscess that can occur in women who are not breastfeeding is a subareolar abscess. A subareolar abscess is an infection that occurs only in the area under the areola (the dark skin around the nipple).
Breast abscess is a dangerous disease. In the early stages, the disease can cause fatigue and pain spreading to the shoulder and arm.
When it has progressed to the abscess formation stage, the patient's entire body will suffer severe damage such as the skin area above the abscess being hot, swollen, tense, purple, high fever, chills, dry lips, headache, thirst, fatigue, and rapid weight loss.
Inverted nipples, signs of lymphadenitis, visible veins under the skin. Milk may contain pus flowing through the nipple, milk has a fishy smell.
If breast abscess is not detected and treated promptly, it will form a recurrent breast abscess, spontaneous rupture of the breast abscess or necrotic breast abscess. The mammary gland loses its ability to secrete milk, causing loss of milk, and can even lead to necrosis.
Infections from breast abscesses can also spread to blood vessels throughout the body, leading to serious complications such as sepsis, kidney failure, and more seriously, limb necrosis... these are very dangerous complications.
Measures to prevent breast abscess
Breast abscesses mainly occur in women after giving birth and breastfeeding. To prevent breast abscesses, breastfeeding mothers should pay attention to the following:
After giving birth, mothers should gently massage their breasts to clear the milk ducts and breastfeed their babies soon after birth, breastfeed frequently and in the correct position.
Clean nipples properly and thoroughly before and after breastfeeding.
You should let your baby finish all the milk and alternate between the breasts. If not, you must express all the excess milk after each feeding.
If there is a phenomenon of blocked milk ducts, it must be treated promptly to clear the milk ducts. To avoid blocked milk ducts, you can massage by hand, apply hot compresses, use infrared light or pump milk with a machine...
Avoid cracking or scratching the nipples because this is a good condition for bacteria to enter and cause mastitis; also avoid dry, chapped skin. Wear a suitable, well-fitting bra... to avoid damaging the breasts.
Do not wean early. When weaning, gradually reduce the number and quantity of feedings.
Source: https://khoahocdoisong.vn/chich-khoi-ap-xe-vu-cho-co-gai-27-tuoi-chua-tung-mang-thai-post2149043169.html
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