Instituto de Pediatría, Hospital Zambrano Hellio, Tecnologico de Monterrey, San Pedro Garza García, Nuevo León, México.
Bol Med Hosp Infant Mex. 2024;81(2):114-117. doi: 10.24875/BMHIM.23000087.
Pink coloration of breast milk is uncommon and it´s associated with colonization by Serratia marcescens, which is most frequently isolated in intensive care settings. Misinterpretation of the pink coloration may lead to premature cessation of breastfeeding. The objective is to present four cases of pink discoloration.
Two retrospective and two prospective cases of pink discoloration in breast milk are described, which were reported to the lead author.
Four healthy mother-infant pairs with documented pink discoloration are presented. S. marcescens was isolated from breast milk samples. All four infants were asymptomatic and underwent enterobacteria cultures. The mothers received outpatient antibiotic treatment, and two infants received treatment as well. Subsequent cultures yielded negative results, and the pink discoloration ceased. All mothers successfully resumed breastfeeding.
There are very few reported cases of pink breast milk in the global literature. Colonization by S. marcescens is not an indication for discontinuation of breastfeeding.
母乳呈现粉红色并不常见，其与粘质沙雷氏菌的定植有关，而该菌最常从重症监护病房中分离出来。对粉红色的错误解读可能导致母乳喂养过早停止。目的在于介绍 4 例粉红色母乳变色的病例。
描述了向主要作者报告的 2 例回顾性和 2 例前瞻性粉红色母乳变色病例。
介绍了 4 对健康母婴，其母乳呈现粉红色变色。从母乳样本中分离出粘质沙雷氏菌。所有 4 名婴儿均无症状，并进行了肠杆菌培养。母亲接受了门诊抗生素治疗，其中 2 名婴儿也接受了治疗。后续培养结果为阴性，粉红色变色停止。所有母亲均成功恢复母乳喂养。
全球文献中报道的粉红色母乳病例非常少。粘质沙雷氏菌定植并不是停止母乳喂养的指征。
