Pattern of Non-lactational Mastitis in Female of Reproductive age Group

Background: Acute or chronic mastitis in non-lactating female is rising now a days. There is a spectrum of etiological factors ranging from infection to autoimmune disorders.The distinction among different forms ofmastitis is of great importance since the management of these different entities varies. This study aimed to explore the clinical presentation and etiological factors of various mastitis in non-lactating female during their reproductive period.

Methods: A cross-sectional descriptive study was carried out on 100 female patients of reproductive period presented with the complains of different varieties of mastitis non related to lactation between 01-04-2018 to 30-04-2019 in Ad-Din Women’s Medical College & Hospital. Patients were evaluated by history, clinical examination, imaging, FNACor tru cut biopsy, histopathology & pus culture.

Results: We found out of 100 patients, 58 cases were breast abscess (58%), 19 cases were granulomatous mastitis (19%), 11 cases were ANDI (fibrocystic disease) (11%), 8 cases were Idiopathic granulomatous mastitis (8%) & 4 cases were periductal mastitis (4%). The age of the patients was in between 18 to 50 years &
the mean age was in between 31.77± 7.99 year. Staphylococcus aureus was most commonly isolated organism (61.97%). Rest of the patients culture showed S.epidermidis in 8.45% patients & Klebsiella in 2.81% patients.No growth was found in 26.76% cases.

conclusion: Non-lactational mastitis causes considerable morbidity & psychological distress in females. The purpose of this study was to analyze spectrum of mastitis in non-lactating females thus help to provide prompt & appropriate management to prevent complications.

Keywords: Non-Lactational Mastitis, Granulomatous Mastitis, IGM, ANDI, Periductal Mastitis, Triple Assessment.