Mastitis natural history, complications, and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Prince Tano Djan, BSc, MBChB [2]

Overview

Complications that may arise from mastitis include: recurrence, milk stasis and abscess formation.

Natural history

If left untreated, up to 11% of patients with puerperal mastitis may progress to develop breast abscess. [1]

Complications

Complications that may arise from mastitis include:

Abscess is the most severe complication that women can get from this condition. Also, women who have had mastitis once are likely to develop it again with a future child or with the same infant. Recurrence appears especially in cases of delayed or inadequate treatment.

Delayed or inadequate treatment, especially in mastitis related to milk stasis, may lead to the formation of an abscess within the breast tissue. An abscess is a collection of pus that develops into the breast which ultimately requires surgical drainage.

Prognosis

The prognosis is usually good and mastitis clears quickly with antibiotic therapy. Majority of smokers;(73%) [2] have the worst prognosis especially Nonpeurperal mastitis and highest rate of recurrent breast abscesses.

References

  1. Liu YY, Chen WC, Chen SL (2016). "[The Continued Breastfeeding Experiences of Women Who Suffer From Breast Abscess]". Hu Li Za Zhi. 63 (2): 49–57. doi:10.6224/JN.63.2.49. PMID 27026557.
  2. Risager R, Bentzon N (2010). "[Smoking and increased risk of mastitis]". Ugeskr Laeger. 172 (33): 2218–21. PMID 20727287.

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