A 32-year-old woman presents 6 weeks postpartum with a new, painful, erythematous area in her left breast and low-grade fever. She is breastfeeding an...

Question

A 32-year-old woman presents 6 weeks postpartum with a new, painful, erythematous area in her left breast and low-grade fever. She is breastfeeding and otherwise well. What is the most appropriate initial management?

Accepted Answer

Continue breastfeeding and start oral anti-staphylococcal antibiotics

Answer

Stop breastfeeding and start broad-spectrum intravenous antibiotics

Answer

Order urgent breast MRI to exclude malignancy

Answer

Start high-dose systemic corticosteroids

Answer

Advise warm compresses only without antibiotics

ca-mccqe1 MCQ (SBA): Lactational mastitis

A 32-year-old woman presents 6 weeks postpartum with a new, painful, erythematous area in her left breast and low-grade fever. She is breastfeeding and otherwise well. What is the most appropriate initial management?