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Acute suppurative parotitis is an uncommon infection. However, given that acute suppurative parotitis tends to occur in the elderly and considering the aging population, the incidence of acute suppurative parotitis may increase in the future. To prevent acute suppurative parotitis, hydration, good oral hygiene, and avoiding diuretics and anticholinergics are essential. We present the case of a frail elderly patient with acute suppurative parotitis due to dehydration following acute ischemic stroke. Our case highlights the importance of appropriate fluid management in elderly patients.

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