Comments on: What is the diagonosis of this kind of disease? http://esnpc2009.com/in-neonates/what-is-the-diagonosis-of-this-kind-of-disease Sat, 19 May 2012 14:01:44 +0000 http://wordpress.org/?v=2.7 hourly 1 By: eagleeye http://esnpc2009.com/in-neonates/what-is-the-diagonosis-of-this-kind-of-disease/comment-page-1#comment-4650 eagleeye Mon, 09 Nov 2009 23:59:59 +0000 http://esnpc2009.com/in-neonates/what-is-the-diagonosis-of-this-kind-of-disease#comment-4650 If you are looking for solutions then you should go to www.zeoliteinfo.com and you can get the product at www.mywaiora.com/698685. In the zeoliteinfo.com go the the Targetnews. All the Best<br><b>References : </b><br>http://www.mywaiora.com/698685 http://www.zeoliteinfo.com If you are looking for solutions then you should go to http://www.zeoliteinfo.com and you can get the product at http://www.mywaiora.com/698685. In the zeoliteinfo.com go the the Targetnews.
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]]> By: Orinoco_W http://esnpc2009.com/in-neonates/what-is-the-diagonosis-of-this-kind-of-disease/comment-page-1#comment-4649 Orinoco_W Mon, 09 Nov 2009 23:19:59 +0000 http://esnpc2009.com/in-neonates/what-is-the-diagonosis-of-this-kind-of-disease#comment-4649 Given the poor feeding, inflamed left nipple and breast and fluctuant abscess present this is obviously a case of mastitis neonatorum, usually caused by staphylococcus aureus - in this case one resistant to cephalexin. This one is partially treated and hence the child is not systemically unwell. The abscess should be incised and drained and the neonate should be placed on an intravenous antibiotic - flucloxacillin would be sufficient for most cases of Staphylococcus aureus but I happen to know the case you are copying from had MRSA, and appears to have surrounding cellulitis. I would thus use clindamycin +/- rifampicin. The patient should be admitted to a paediatric surgical ward to observe for the resolution of the illness. Parents also should be advised to seek treatment with their usual family doctor and to wash frequently and effectively. The mother, particularly, should be checked for mastitis.<br><b>References : </b><br>http://master.emedicine.com/email/image/image78/image78answer.html Given the poor feeding, inflamed left nipple and breast and fluctuant abscess present this is obviously a case of mastitis neonatorum, usually caused by staphylococcus aureus - in this case one resistant to cephalexin.

This one is partially treated and hence the child is not systemically unwell.

The abscess should be incised and drained and the neonate should be placed on an intravenous antibiotic - flucloxacillin would be sufficient for most cases of Staphylococcus aureus but I happen to know the case you are copying from had MRSA, and appears to have surrounding cellulitis.

I would thus use clindamycin +/- rifampicin.

The patient should be admitted to a paediatric surgical ward to observe for the resolution of the illness.

Parents also should be advised to seek treatment with their usual family doctor and to wash frequently and effectively.

The mother, particularly, should be checked for mastitis.
References :
http://master.emedicine.com/email/image/image78/image78answer.html

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