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Primary herpes simplex virus infection of the nipple in a breastfeeding woman.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Barrett, Meagan E. Heller, Misha M. Stone, Honor Fullerton Murase, Jenny E. |
| Copyright Year | 2016 |
| Abstract | E10 CUTIS WWW.CUTIS.COM To the Editor: A 33-year-old woman presented with tenderness of the left breast and nipple of 2 weeks’ duration and fever of 2 days’ duration. The pain was so severe it precluded nursing. She rented a hospital-grade electric breast pump to continue lactation but only could produce 1 ounce of milk daily. The mother had been breastfeeding her 13-month-old twins since birth and did not report any prior difficulties with breastfeeding. Both twins had a history of mucosal sores 2 months prior and a recent outbreak of perioral vesicles following an upper respiratory tract illness that was consistent with gingivostomatitis, followed by a cutaneous outbreak secondary to herpes simplex virus (HSV) type 1 infection. The patient had no known history of HSV infection. Prior to presentation the patient was treated with oral dicloxacillin and then cephalexin for suspected bacterial mastitis. She also had used combination clotrimazole-betamethasone cream for possible superficial candidiasis. The patient had no relief with these treatments. Physical examination revealed approximately 20 microvesicles (<1 mm) on an erythematous base clustered around the left areola (Figure). Erythematous streaks were noted from the medial aspect of the areolar margin extending to the central sternum. The left breast was firm and engorged but Primary Herpes Simplex Virus Infection of the Nipple in a Breastfeeding Woman |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/issues/articles/CT097006010_e.PDF |
| PubMed reference number | 27416090 |
| Journal | Medline |
| Volume Number | 97 |
| Issue Number | 6 |
| Journal | Cutis |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
