Merad Yassine, Derrar Hichem, Belkacemi Malika, Drici Amine, Belmokhtar Zoubir
Parasitology-Mycology, "Hassani Abdelkader" University Hospital, Central Laboratory, Sidi Bel Abbès, DZA.
Pulmonary and Lung Diseases, "Hassani Abdelakder" University Hospital, Sidi Bel Abbès, DZA.
Cureus. 2020 Dec 11;12(12):e12026. doi: 10.7759/cureus.12026.
Breastfeeding has been demonstrated to have many benefits for both mother and child. The diagnosis and management of Candida in the breastfeeding dyad are difficult because diagnosis is most often based on subjective signs and symptoms. Few studies have attempted to confirm the diagnosis with biological tests. A 26-year-old breastfeeding mother presented with stabbing breast pain, accompanied by erythematous, hyperkeratotic areola, and nipples. Histopathological results and direct mycological examination, followed by culture and auxanogram, revealed Candida albicans as an etiological agent of mastitis; the case was managed successfully by antifungal medication. Candida mastitis in lactating women is an under-recognized and under-treated cause of breast pain, hyperkeratosis over areola, and discharge of nipple should be assessed by biological tests. The hope is that with an increased awareness of this infection, more mothers will be appropriately treated and will thus be more likely to continue breastfeeding.
母乳喂养已被证明对母亲和孩子都有许多益处。由于念珠菌病在母乳喂养母婴中的诊断和管理很困难，因为诊断通常基于主观体征和症状。很少有研究尝试通过生物学检测来确诊。一名26岁的母乳喂养母亲出现乳房刺痛，伴有乳晕和乳头红斑、角化过度。组织病理学结果和直接真菌学检查，随后进行培养和生长谱测定，显示白色念珠菌是乳腺炎的病原体；该病例通过抗真菌药物成功治愈。哺乳期妇女的念珠菌性乳腺炎是乳房疼痛、乳晕角化过度和乳头溢液的一个未得到充分认识和治疗的原因，应通过生物学检测进行评估。希望随着对这种感染认识的提高，更多母亲能够得到适当治疗，从而更有可能继续母乳喂养。
