Hot Chest 2

A 30 year old woman presents with redness, pain, and worsening swelling of her right breast for 2 weeks.

There is no history of fever, itching, or trauma to the affected breast. Treatment with a 7-day course of oral antibiotics yielded no visible response.

Her medical history is unremarkable, and there is no family history of malignancy. Her first child was born 7 months ago, and is still being breastfed.

Select Relevant Investigations
Complete Blood Count

Performed

WBC/DC: 8,000/mm3 (4,600-11,000)
N: 70% L: 25%
Hb: 12 g/dL (11-18)
Plt: 300,000/mm3 (150,000-450,000)
C-Reactive Protein

Performed

C-reactive protein: 3.0 mg/L (normal: <6)
Ultrasound Breasts

Performed

The ultrasound scan of the right breast reveals skin thickening. No hypoechogenic or hyperechogenic lesions are noted. In the right axilla, a single central lymph node is enlarged. The left breast and axilla appear normal.
Mammogram Right Breast

Performed

The mammogram could not be performed, due to the patient experiencing pain.

Select Relevant Management
IV Antibiotics
Urgent Oncology Referral
Breastfeeding Counselling
Surgical Drainage