increase and, in some instances, a purulent secretion through the nipple may be observed. Other general manifestations can include fever and irritability. In up to 50% of cases, the natural course of the infection is the formation of an abscess. At times, a toxic state can ensue, almost always associated to the extension of a thoracic cellulitis that progresses in few hours and can become a necrotizing fasciitis. 3 157
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