Monolateral suppurative parotitis in a neonate and review of literature

International Journal of Pediatric Otorhinolaryngology
Lidia DecembrinoMauro Stronati

Abstract

Neonatal suppurative parotitis is a rare condition characterized by swelling, pain, and erythema over the affected gland. Antimicrobials and adequate hydration are an essential part of treatment. Surgical intervention is reserved for organized abscesses and for infections not responding to medical management. A case report and review of the literature. Only few case reports and case series are reported in literature on neonatal parotitis. Transmission of bacteria seems to occur mainly by ascending spread through Stensen's duct, or by hematogenous spread from a distant focus. Dehydration, low birth weight, immune suppression, ductal obstruction, oral trauma and structural abnormalities of the parotid gland are recognised as risk factors. The most common pathogen is Staphylococcus aureus. Other less frequent agents are other Gram-positive cocci, Gram-negative bacilli and rarely anaerobic bacteria. Advances in antimicrobial therapy have improved both outcome and prognosis. Thanks to the prompt antibiotic treatment complications are now drastically reduced. Ultrasound examination may help in the diagnosis and monitoring of clinical course.

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Citations

Dec 9, 2014·Jundishapur Journal of Microbiology·Seyed Mohammad Hassan AletayebHazhir Javaherizadeh
Nov 22, 2015·International Journal of Pediatric Otorhinolaryngology·Peter Korček, Zbyněk Straňák
Aug 21, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·O VassalV Piriou
Jun 13, 2015·BMJ Case Reports·Filipa Dias CostaAgostinho Fernandes
Mar 4, 2017·Acta Paediatrica·Kanwaljeet J S AnandUNKNOWN EUROPAIN survey working group of the NeoOpioid Consortium
Aug 27, 2021·Clinical Practice and Cases in Emergency Medicine·Ayush GuptaAndrew McKernan

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