Medical history Female, 33 years old. On the 30th postpartum day, she had complaints of fever, pain, swelling in the left breast. On physical examination: hyperemic, hardened and painful periareolar region (Image 1). After clinical diagnosis of puerperal mastitis, amoxicillin with clavulanate, local ice were prescribed and breast milking at the end of breastfeeding was started. She used the antibiotic for 2 days, but progressed with worsening of the clinical picture and the appearance of periareolar fluctuations, at “10 o’clock” (Image 2). Photograph of the patient's left breast, on inspection.Patient's left breast on inspection, 2 days after the first evaluation.Question:Considering the patient's images and clinical data, what is the most appropriate immediate approach? Local drainage after ultrasound planning Fine needle aspiration puncture (FNAB) Expand the coverage of antibiotic therapy Suspension of breastfeeding Test question (UFSM) Main etiologic agent found in puerperal mastitis: Salmonella sp Staphylococcus aureus Mycobacteria Criptococci Enterobacter sp Time is Up! Time's up
