Neonatal Acute Suppurative Parotitis

COVID-19-Associated Parotitis in a 10-Week-Old Male

“…About 10-20% of cases have shown bilateral parotid swelling [9]. To diagnose parotitis, a bacterial culture of the discharge is required, most commonly showing Staphylococcus aureus [9][10][11][12][13][14]. There is an incidence of one per 100,000 in full-term babies and an incidence of 3.8 to 14 per 10,000 neonatal intensive care unit (NICU) babies [10].…”

Polymicrobial Acute Suppurative Parotitis in a 33-Day-Old Infant: A Case Report and Review of the Literature

“…1,3 Vancomycin is recommended in the event of suspicion or if tailoring treatment for MRSA is needed-a bacterium that should be taken into consideration, according to the accumulative results of our microbiological review. 4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19]21 Treatment should be continued for 7 to 10 days (optimal duration is still unknown), while in most cases (78%) significant improvement with complete remission is seen within 24 to 48 hours. 1 In the absence of improvement, USG examination for abscess cavity formation is recommended [1][2][3][4] Apart from abscess formation, complications also include bacteremia/sepsis, soft tissue extension with possible fistula formation, facial palsy, mediastinitis, and meningitis.…”

“…According to review studies, only 3 fatalities have been recorded, and all occurred before 1970, while ever since no fatalities have been recorded in English literature. 1,3,4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19]21 Moreover, the recurrence of suppurative parotitis is uncommon. Our patient did not experience recurrence after dismissal and over a period of 12 months.…”

“…A pus sample from the affected parotid gland may be obtained directly from the Stensen’s duct through a swab or by needle aspiration of the parotid, which is more invasive but also more specific. 6 Based on the review of the microbiological findings of cases of ASP in English literature (as in PubMsaed) for the years 2012 to 2020 4,7-19 and in combination with previous studies for the years 1970 to 2012, 1,3,6 (Table 1) S. aureus is the most commonly isolated microorganism in 47% of the total 65 patients. Other less frequent organisms are Gram-positive cocci (in total 17.3%) including: Streptococcus viridans (5%), Streptococcus pyogenes (3%), and Gram-negative microorganisms such as Escherichia coli (5%), K. pneumoniae (3%), Prevotella spp.…”

“…Bacteria Isolated From Patients With Neonatal Suppurative Parotitis, Years 1970-2020 1,3,4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19]21. …”