Acute suppurative parotitis in a 33-day-old patient

Avcu, Gülhadiye; Belet, Nurşen; Karli, Arzu; Şensoy, Gülnar

doi:10.1093/tropej/fmv012

Cited by 13 publications

(29 citation statements)

References 4 publications

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“…[3][4][5] Staphylococcus aureus is the most commonly responsible microorganism, accounting for 55% of the cases. 6,7 Other organisms isolated were Streptococcus pyogenes, Streptococcus viridians, Klebsiella pneumoniae, Escherichia coli, Pseudomonas aeruginosa. [8][9][10] Less commonly Pepto streptococcus, coagulase-negative Staphylococcus, few other gram negative bacilli and anaerobes were also reported.…”

Section: Discussionmentioning

confidence: 99%

“…Bacterial ascent from oral cavity and sepsis induced hematological spread may also occur. 7,13 Mechanical obstruction caused by sialolith and neoplasm should be excluded by imaging. The main stay of treatment is administration of parenteral antibiotics for 7-10 days, appropriate to sensitivity pattern of causative organism.…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors known to be involved are prematurity, structural abnormality, formula feeding, dehydration, sialolith, nasogastric intubation, nose blowing practices, trauma, bacterial ascent from oral cavity and immunodeficiency. [5][6][7] Based on many of the review articles it is evident that in most cases affected, causative organism involved was Staphylococcus aureus.…”

Section: Introductionmentioning

confidence: 99%

“…However, many more other organisms like Streptococcus pyogenes, Streptococcus viridians, Klebsiella pneumoniae, Escherichia coli, Pseudomonas aeruginosa have also been cultured. [5][6][7][8] Diagnosis is made by clinical examination. Investigations like hemogram, imaging studies (to rule out sialolith) and exudate culture are warranted to know the severity and extent of the disease process and to opt treatment modality.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral suppurative parotitis in a neonate: a case report

Chordia

Arunagirinathan

Bhandary

2019

Int J Contemp Pediatr

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Acute suppurative parotitis is a very rare ailment to be encountered in the neonatal period. Here, we report a 13-day old hemodynamically stable neonate, who presented to us with bilateral tender, erythematous parotid swelling and purulent discharge exuding from stensen’s duct. He was exclusively breast fed and had no other risk factors. Provisional diagnosis of acute suppurative parotitis was made with clinical examination. On investigating, there was neutrophilic leukocytosis, elevated acute phase reactants, ultrasonogram showed hypoechoic areas and a heavy growth of Staphylococcus aureus was isolated on pus culture. Baby underwent incision and drainage on the day of admission and was started on appropriate parenteral antibiotics along with supportive management. There was a significant clinical response over next 24 hours. He was doing well throughout the hospital stay and antibiotic course was completed based on culture sensitivity pattern. He neither had any immediate complications during hospital stay nor developed any late complications on follow up. Prognosis of the condition is excellent with adequate timely management. Authors would like to report this case for its rarity and to emphasize on fact that though the condition is uncommon, acute neonatal parotitis should be included in the differentials of any unilateral or bilateral neonatal parotid swelling, as early diagnosis and prompt management of this entity is mandated for a favorable outcome and to limit complications drastically.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral suppurative parotitis in a neonate: a case report

Chordia

Arunagirinathan

Bhandary

2019

Int J Contemp Pediatr

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“…Bacterial sialadenitis is exceptionally common in children, and the parotid is the most frequent salivary gland to be affected, with Staphylococcus aureus being the most common pathogen. Suppurative parotitis frequently affects premature infants (35%-40% of cases) and immunosuppressed children, with dehydration being the main predisposing factor (19)(20)(21).…”

Section: Inflammatory Conditions Acute Parotitismentioning

confidence: 99%

Imaging Evaluation of Pediatric Parotid Gland Abnormalities

et al. 2018

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Parotid gland lesions in children can be divided into benign or malignant. The age of the patient helps narrow the differential diagnosis, with vascular and congenital lesions being more frequent in the 1st year of life, while solid tumors are more frequent in older children. Inflammatory disease usually has rapid onset in comparison with that of neoplastic or congenital processes, which have more gradual clinical evolution. Currently, multiple imaging techniques are available to study the parotid region, such as US, CT, and MRI. However, it is still a challenge to distinguish nonmalignant lesions from malignant ones. US is the first-line diagnostic approach in children to characterize the morphology and vascularity of these lesions. CT in children may be indicated for evaluation of abscesses or sialolithiasis. MRI is the imaging modality of choice for investigating the nature of the lesion and its extent. In addition to complete and detailed clinical information, knowledge of parotid gland anatomy and characteristic radiologic features of parotid disorders is essential for optimal radiologic evaluation and avoiding unnecessary interventional diagnostic procedures or treatment. This article illustrates a variety of entities (congenital, inflammatory, vascular, neoplastic) that can occur in the parotid gland, highlighting the most frequent radiologic patterns of manifestation and correlating them with clinical, surgical, and pathologic findings. RSNA, 2018.

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