Yenidoğanda Bilateral Meme Absesi

Öz

Mastit ve meme absesi, yenidoğan döneminde oldukça nadir görülen enfeksiyonlardır. Etiyolojisi tam olarak bilinmemekle birlikte meme dokusunun manipülasyonu ve yenidoğanın immün sisteminin tam olarak gelişmemiş olması enfeksiyon gelişimini kolaylaştıran faktörlerdir. Genellikle ilk 2 ay içinde görülen, etken mikroorganizmanın sıklıkla Staphylococcus aureus olduğu ve bu enfeksiyonun sistemik komplikasyonlara yol açabildiği bilinmektedir. Bu yazıda meme absesi tanısı alan 7 günlük erkek hasta sunularak, ciddi problemlere neden olabilecek bu enfeksiyonun önemli noktalarının vurgulanması amaçlandı.

Anahtar Kelimeler

• Abse, Meme, Yenidoğan

Neonatal Bilateral Breast Abscess

Öz

Mastitis and breast abscess are very rare infectious conditions in the neonatal period. Although the etiology has not been clarified yet, the manipulation of breast tissue and the immaturity of the neonatal immune system may be predisposing factors for these conditions. These infections usually seen in the first 2 months of life, caused by Staphylococcus aureus may also cause systemic complications. Herein, a 7-day-old male baby with breast abscess has been reported and the important points of these infections that may cause severe problems have been emphasized

Anahtar Kelimeler

• Abscess, Breast, Newborn

Kaynakça

1. Sainsbury R. Mastitis of infants. In: Williams NS, Bulstrode CJK O’Connell PR. (eds). Bailey and Love’s Short Practice of Surgery. 25th ed. Edward Arnold Ltd, 2008: 831-2.
2. Walsh M, Mclntosh K. Neonatal mastitis. Clin Pediatr (Phila) 1986;25:395-9.
3. Ramachandraiah A. Neonatal mastitis. Indian paediatr 2000; 37:1021.
4. Rudoy R, Nelson JD. Breast abscess during the neonatal period. A review. Am J Dis Child 1975;129:1031-4.
5. Bodemer C, Panhans A, Chretien-Marquet B, Cloup M, Pellerin D, de Prost Y. Staphylococcal necrotizing fasciitis in the mammary region in childhood: A report of five cases. J Pediatr 1997;131:466- 9.
6. Manzar S. Brain abscess following mastitis in a 3-month-old infant. J Trop Pediatr 2001;47:248-9.
7. Efrat M, Mogilner JG, Iujtman M, Eldemberg D, Kunin J, Eldar S. Neonatal mastitis diagnosis and treatment. Isr J Med Sci 1995;31:558-60.
8. Stricker T, Navratil F, Sennhauser FH. Mastitis in early infancy. Acta Paediatr 2005; 94:166-9.

9. Brook I. Cutaneous and subcutaneous infections in newborns due to anaerobic bacteria. J Perinat Med 2002;30:197-208.
10. Nelson JD. Suppurative mastitis in infants. Am J Dis Child 1973;125:458-9.
11. Brook I. The aerobic and anaerobic microbiology of neonatal breast abscess. Pediatr Infect Dis J 1991;10:785-6.
12. Dollberg S, Hurvitz H, Klar A, Engelhard D. Group D streptococcal neonatal mastitis. Pediatr Infect Dis J 1988;7:362.
13. Arunagirinathan A, Duraipandian J, Rangasamy G, Shivekar S, Saban P, Shivekar S. Bilateral breast abscess in a neonate: A case report. IJCRI 2011;2:26-8.
14. McKiernan J. Breast enlargement in infants and children. Ir Med J 1990;83:88.
15. Schwarz MD, Rosen RA. Neonatal mastitis due to E. coli. Clin Pediatr 1974;13:86-87.
16. Burry VF, Beezley M. Infant mastitis due to gram-negative organisms. Am J Dis Child 1972;124:736-7.
17. Rench MA, Baker CJ. Group B streptococcal breast abscess in a mother and mastitis in her infant. Obstet Gynecol 1989;73(5 pt 2):875-7.
18. Mahapatra AK, Pawar SJ, Sharma RR, Lad SD. Brain abscess due to Staphylococcus aureus following neonatal breast abscess: Case report and a brief review of the literature. Ann Saudi Med 2001;21:80-3.
19. Montalto M, Lui B. MRSA as a cause of postpartum breast abscess in infant and mother. J Hum Lact 2009;25:448-50.
20. Brown L, Hicks M. Subclinical mastitis presenting as acute, unexplained, excessive crying in an afebrile 31 day old female. Pediatric Emerq Care 2001;17:189-90.
21. Borders H, Mychaliska G, Gebarski KS. Sonographic features of neonatal mastitis and breast abscess. Pediatr Radiol 2009;39:955- 8.