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Journal of Human Lactation
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Fluconazole for Postpartum Candidal Mastitis and Infant Thrush

Ellen M. Chetwynd, RN, BSN, IBCLC

Department of Family Medicine, University of North Carolina, Box 7595, Chapel Hill, NC 27599-7595, USA.

Timothy J. Ives, PharmD, MPH, FCCP, BCPS

University of North Carolina at Chapel Hill.

Patricia M. Payne, BSN, MPH, CNM

Cecil G. Sheps Center for Health Services Research; Department of Family Medicine at the University of North Carolina at Chapel Hill.

Neva Edens-Bartholomew, MD, MPH

Department of Family Medicine at the University of North Carolina at Chapel Hill; Orange County Health Department.

This case report illustrates the difficulties inherent in treating candidal mastitis in lactating women and concurrent thrush in the breastfeeding baby. This mother's candidiasis vacillated from topical to ductal, depending on which medications were being used over the course of several months. Her baby's oral thrush was unique in that there were never any white plaques visible on his oral mucosa. Ultimately, both mother and child were treated simultaneously with oral fluconazole, with a relief of symptoms in both individuals.

Key Words: breastfeeding • candidiasis • newborn thrush • fluconazole • nystatin

Journal of Human Lactation, Vol. 18, No. 2, 168-171 (2002)
DOI: 10.1177/089033440201800209
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