Presentation of acute suppurative parotitis in a newborn with incessant crying

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.…”

Acute Suppurative Parotitis in Early Neonatal Period

“…Generally, patients present with unrest, crying and swelling with or without redness in the unilateral parotid region (5). Prematurity, low birth weight, male gender, dehydration, immune suppression, trauma, parotid channel obstruction can be listed among the risk factors (2-4).…”

Purulent Discharge from Stensen Duct in Neonatal Suppurative Parotitis

“…1 Other symptoms include incessant crying, irritability, and erythema surrounding the orifice of Stensen duct (Figure 1). 2 Approximately one-half of patients with neonatal suppurative parotitis are afebrile, and the parotid swelling is bilateral in 10%-20% of cases despite bacterial involvement. [3][4][5] The orifice of Stensen duct is located in the buccal mucosa opposite the upper second molar, and the presence of pus is an important clue in the diagnosis and identification of the pathogen.…”

“…1 It is well-known that HSP can be associated with acute scrotum; however, testicular torsion is a rare complication. 2,3 An acute scrotum was associated with 21.7% of HSP cases. 2 Its ultrasound findings include a hydrocele, swelling in the epididymis and scrotal skin, and normal intratesticular blood flow.…”

“…2,3 An acute scrotum was associated with 21.7% of HSP cases. 2 Its ultrasound findings include a hydrocele, swelling in the epididymis and scrotal skin, and normal intratesticular blood flow. 4 In cases of testicular torsion, such as this case, the intratesticular blood flow is decreased or absent, so color Doppler ultrasound examination is useful for differentiation.…”