{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:47:22Z","timestamp":1777852042929,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1997,12,1]],"date-time":"1997-12-01T00:00:00Z","timestamp":880934400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[1997,12]]},"abstract":"<jats:p>This case follows a breastfeeding mother with cracked nipples undergoing antibiotic treatment (dicloxacillin) for mastitis. Nipple candidiasis also presented with burning, stinging pain radiating from the nipples into the breast, lasting throughout feedings and beyond. Over a 7-week period, the asymptomatic infant was treated with the oral antifungal, nystatin. After other antifungal treatment regimens (oral nystatin, tristatin ointment) had been deemed unsuccessful for the mother, the physician prescribed fluconazole (200 mg loading dose plus 100 mg\/day for 15 days) which reduced, but did not eliminate, the nipple yeast and accompanying pain. Fluconazole was continued for an additional 30 days (200 mg\/day) for a total of 6 weeks of treatment with this medication. Concurrently, a topical yeast medication (tristatin ointment) was used for a total of 8 weeks on the nipples\/areola, after which the overt pain was resolved. Although the mastitis resolved after 1 week, the cracked nipples did not completely heal for several months. During the initial 3 weeks of treatment, neither over-the-counter pain medication nor acetaminophen with codeine relieved this mother's pain. Hydrocodone bitartrate and acetaminophen (10\/650 mg\/tablet) (Lorcet) offered the pain relief necessary for this mother to continue to breastfeed.<\/jats:p>","DOI":"10.1177\/089033449701300416","type":"journal-article","created":{"date-parts":[[2007,3,10]],"date-time":"2007-03-10T23:42:33Z","timestamp":1173570153000},"page":"307-311","source":"Crossref","is-referenced-by-count":19,"title":["Long-Term Treatment of a Breastfeeding Mother with Fluconazole Resolved Nipple Pain Caused by Yeast: A Case Study"],"prefix":"10.1177","volume":"13","author":[{"given":"Vicki","family":"Bodley","sequence":"first","affiliation":[{"name":"1943 Mariposa Lane, Billings, MT 59102 USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Powers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1997,12,1]]},"reference":[{"key":"atypb1","first-page":"1407","volume":"40","author":"Tanguay D","year":"1994","journal-title":"Can Fam Physician"},{"key":"atypb2","volume-title":"Lactation Consultant Series","author":"Amir L","year":"1995"},{"key":"atypb3","first-page":"124","volume-title":"The Nursing Mother's Companion","author":"Huggins KE","year":"1995","edition":"3"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1177\/089033449300900313"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-6138(86)80042-0"},{"key":"atypb6","first-page":"229","volume-title":"Breastfeeding and Human Lactation","author":"Riordan J,","year":"1993"},{"key":"atypb7","first-page":"238","volume-title":"Breastfeeding: A Guide for the Medical Profession","author":"Lawrence RA","year":"1994","edition":"4"},{"key":"atypb8","first-page":"404","volume-title":"The Breastfeeding Answer Book","author":"Mohrbacher N","year":"1997"},{"key":"atypb9","first-page":"382","volume-title":"Breastfeeding and Human Lactation","author":"Riordan J","year":"1993"},{"key":"atypb10","first-page":"401","volume":"9","author":"Marmet C","year":"1984","journal-title":"MCN"},{"key":"atypb11","doi-asserted-by":"crossref","first-page":"353","DOI":"10.7326\/0003-4819-116-5-353","volume":"116","author":"Horowitz BJ","year":"1992","journal-title":"Annal internal Med"},{"issue":"2","key":"atypb12","first-page":"9","volume":"9","author":"Briggs","year":"1996","journal-title":"Williams & Wilkins"},{"key":"atypb13","unstructured":"13. Hale T. Fluconazole. In: Medications and Mothers' Milk, 5th ed. Amarillo, TX: Pharmasoft Medical Publishing, 1996:164-165."},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-3-177"},{"key":"atypb15","unstructured":"15. Physicians' Desk Reference. Montvale, NJ: Medical Economics Co., 1997:2006-2006."},{"key":"atypb16","unstructured":"16. Maher SM. An Overview of Solutions to Breastfeeding and Sucking Problems, Franklin Park, IL: La Leche League International, 1988:13-13."},{"key":"atypb17","first-page":"311","volume-title":"Breastfeeding and Human Lactation","author":"Walker M","year":"1993"},{"key":"atypb18","first-page":"478","volume-title":"The Breastfeeding Answer Book","author":"Mohrbacher N","year":"1997"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/089033449701300416","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/089033449701300416","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:29:31Z","timestamp":1777501771000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/089033449701300416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,12]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1997,12]]}},"alternative-id":["10.1177\/089033449701300416"],"URL":"https:\/\/doi.org\/10.1177\/089033449701300416","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,12]]}}}