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El Omri M, Jemli S, Belakhdher M, Kermani W. Neonatal Suppurative Parotitis: Case Report and Review of Literature. EAR, NOSE & THROAT JOURNAL 2024:1455613241234281. [PMID: 38476055 DOI: 10.1177/01455613241234281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2024] Open
Abstract
Neonatal suppurative parotitis is a rare condition that is diagnosed primarily through clinical evaluation. The prognosis is generally good. In this report, we present the case of a 21-day-old female infant who was treated in our ENT department for neonatal suppurative parotitis. The patient presented with a feverish, hard, red, and tender swelling of the parotid loge which displaced the right earlobe outward. In addition, purulent exudate was observed from Stensen's duct. A computed tomography scan of the cervical and cerebral regions revealed a swollen right parotid gland with heterogeneous density and enhancement, but no detectable collection. The patient received intravenous antibiotics for 48 hours, resulting in a favorable outcome without the need for surgical treatment. The aim of this study is to emphasize the diagnostic and therapeutic aspects of this clinical condition. Suppurative parotitis should be suspected by the clinician in newborns who present with an inflammatory preauricular swelling, with or without contributing factors. The outcome is generally favorable, and complications are rare with timely and appropriate medical treatment.
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Affiliation(s)
- Malika El Omri
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Safaa Jemli
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
- Ear Nose and Throat Department and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse, Tunisia
| | - Mouna Belakhdher
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
- Ear Nose and Throat Department and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse, Tunisia
| | - Wassim Kermani
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
- Ear Nose and Throat Department and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse, Tunisia
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Pollenus J, Van Lierde S. Neonatal Parotitis: A Case Report and Review of the Literature. Pediatr Infect Dis J 2023; 42:e323-e327. [PMID: 37171966 DOI: 10.1097/inf.0000000000003959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
BACKGROUND Neonatal parotitis is a rare disease. Between 1970 and 2011 only 44 cases have been reported in the English literature. METHODS In this case report, we describe a case of neonatal parotitis caused by Group B streptococcus (GBS). Additionally, we performed a review of the recent literature. We found 18 new cases published between 2011 and 2020. These cases were analyzed together with the 44 cases published before 2011. RESULTS All patients presented with swelling over the parotid area, with varying degrees of local inflammation and general symptoms. Purulent discharge from the Stensen's duct was present in 85% of the patients. The swelling was usually unilateral (84%). In total 70% of the patients were male. Prematurity was reported in 29% of the cases. The most common isolated pathogen was Staphylococcus aureus (68%). Only 5 cases were found describing GBS as the causative pathogen in neonatal parotitis. In most of the cases treatment with intravenous antibiotics was successful, 27% of the patients needed surgical drainage. The reported outcomes were good. CONCLUSIONS When comparing GBS cases and non-GBS cases there seems to be a difference in presenting symptoms and pathophysiology, with GBS patients presenting without purulent discharge form the Stensen's duct and with more severe generalized symptoms. Additionally, all GBS patients had a positive blood culture, compared to 27% of the non-GBS patients, which indicates that in GBS cases the major route of parotid infection is hematogenous, compared to a retrograde flow from the oral cavity to the parotid gland in non-GBS cases.
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Affiliation(s)
- Julie Pollenus
- From the Department of Development and Regeneration, University Hospital Leuven, Herestraat, Leuven, Belgium
| | - Stefaan Van Lierde
- Department of Development and Regeneration, University of Leuven, Belgium
- Department of Pediatrics, Regional Hospital Tienen, Kliniekstraat, Tienen, Belgium
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Xu X, Yu Z, Liang Y, Gao H, Liu Y, Yu Y. Mumps caused by paraquat-induced poisoning: A case report. Exp Ther Med 2017; 13:401-404. [PMID: 28352307 PMCID: PMC5348647 DOI: 10.3892/etm.2016.3982] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Accepted: 05/27/2016] [Indexed: 12/11/2022] Open
Abstract
Paraquat (PQ) is a highly toxic herbicide that harms the liver, kidney, lungs and heart, and results in a variety of complications. The majority of patients with severe PQ poisoning may succumb to multiple organ failure, and the mortality rate is high. Although a large number of studies have been performed investigating PQ poisoning, cases of mumps caused by PQ-induced poisoning are rare. In the present case report, a 45-year-old female who ingested PQ was admitted to the Emergency Department of Liaocheng People's Hospital (Liaocheng, China). During the development of the disease, mumps was caused by a cavity ulcer following PQ poisoning. To the best of our knowledge, cases of mumps following PQ poisoning are rare.
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Affiliation(s)
- Xiaoyan Xu
- Department of Pharmacy, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China
| | - Zhongkai Yu
- Department of Pharmacy, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China
| | - Yongguang Liang
- Department of Pharmacy, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China
| | - Hengqiang Gao
- Department of Pharmacy, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China
| | - Yilin Liu
- Department of Pharmacy, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China
| | - Yunbei Yu
- Department of Pharmacy, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China
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Abstract
Acute suppurative parotitis is uncommon in children and is very rare in neonates. Most common organism isolated is Staphylococcus aureus. We present a 15-day-old full-term breast-fed female neonate with left-sided acute parotid abscess. The baby presented with a left preauricular swelling, pain and redness. Pus was exuded from left Stensen's duct on compression of the gland externally. Early diagnosis and proper intravenous antibiotics are the keys to the treatment.
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Affiliation(s)
- Shreesh Kolekar
- Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India
| | - Tejas S. Chincholi
- Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India
| | - Ashok Kshirsagar
- Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India
| | - Narendra Porwal
- Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India
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Aletayeb SMH, Sepehran A, Javaherizadeh H. Suppurative parotitis in a girl: a case report from ahvaz, iran. Jundishapur J Microbiol 2014; 7:e12309. [PMID: 25485063 PMCID: PMC4255378 DOI: 10.5812/jjm.12309] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2013] [Revised: 09/08/2013] [Accepted: 09/25/2013] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Neonatal parotitis is a rare disease. Neonatal suppurative parotitis commonly presents with facial swelling, irritability, tenderness of parotid region, and with or without fever. Acute neonatal suppurative parotitis is one of the differential diagnoses of facial swelling with a prevalence of 3.8/10'000 of neonatal admission. CASE PRESENTATION A 32-day-old girl with fever and restlessness was admitted in the hospital. Left facial swelling was found during physical examination. Redness was observed in the face. Prenatal history was normal. Birth weight was 3500 g. Body weight, length, and head circumference were 4300 g (75 th percentile), 52 cm (50 th percentile), and 38 cm (75 th percentile), respectively. She was breastfed. Pulse and respiratory rates were 130/min and 50/min, respectively. Axillary temperature was 37.8°C. Head examination revealed normal sized fontanel (1.5 × 1.5 cm) without bulging. Eye and ear were normal. Abdominal examination revealed no abnormal findings. Results of urine analysis and culture were normal. Blood urea nitrogen, sodium, potassium, and blood sugar were normal. Blood amylase was 10 U/L. Bilateral multiple reactive lymph node (size = 6 × 10 mm) at anterior cervical chain with a left facial swelling was observed in ultrasonography report. Pus was obtained following gentle pressure on Stensen's duct. Staphylococcus aureus was detected in the microscopic and microbiological evaluations.The patient received a seven-day treatment course with vancomycin and amikacin. Neonate was discharged in a good condition. CONCLUSIONS Acute suppurative parotitis should be suspected in infants with fever, and irritability in pre-auricular region; and should be treated with appropriate antibiotics.
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Affiliation(s)
- Seyed Mohammad Hassan Aletayeb
- Department of Pediatrics, Abouzar Children's Hospital, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
| | - Ashraf Sepehran
- Department of Pediatrics, Abouzar Children's Hospital, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
| | - Hazhir Javaherizadeh
- Department of Pediatrics, Abouzar Children's Hospital, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
- Corresponding author: Hazhir Javaherizadeh, Department of Pediatrics, Abouzar Children's Hospital, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran. Tel/Fax: +98-6113337681, E-mail:
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Hamid R, Shera HA, Khurshid S, Bhat AN, Baba AA, Akhter A. Suppurative parotitis and submandibular sialadenitis. J Clin Neonatol 2014; 3:39-40. [PMID: 24741539 PMCID: PMC3982338 DOI: 10.4103/2249-4847.128730] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Suppurative involvement of salivary gland in neonates is a rare disorder. Parotid gland being the most commonly involved. We described a case of suppurative parotitis leading to abscess formation and subsequent involvement of the submandibular gland. Incision and drainage of the abscess was performed, most of the purulent material was drained. Symptoms and signs resolved within 2 days. Pus culture grew Staphylococcus aureus.
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Affiliation(s)
- Raashid Hamid
- Department of Paediatric Surgery, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
| | - Hussain A Shera
- Department of Paediatric Surgery, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
| | - Sheikh Khurshid
- Department of Paediatric Surgery, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
| | - Ahmad N Bhat
- Department of Paediatric Surgery, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
| | - A Aejaz Baba
- Department of Paediatric Surgery, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
| | - Afrozah Akhter
- Department of Paediatric Surgery, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
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Acute Neonatal Parotitis with Late-Onset Septic Shock due to Streptococcus agalactiae. Case Rep Pediatr 2014; 2014:689678. [PMID: 24653847 PMCID: PMC3933556 DOI: 10.1155/2014/689678] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Accepted: 12/24/2013] [Indexed: 11/25/2022] Open
Abstract
Acute neonatal parotitis (ANP) is a very rare disease. Most cases are managed conservatively; early antibiotics and adequate hydration may reduce the need for surgery. The most common cause of ANP is Staphylococcus aureus. We report a rare case of acute neonatal parotitis with late-onset septic shock due to Streptococcus agalactiae. The diagnosis was confirmed with ultrasound and isolation of Streptococcus agalactiae from blood culture. The patient was treated successfully with 10 days of intravenous antibiotics and supportive measures. Despite being rare, streptococcal ANP should be considered in the etiological diagnosis of neonatal sepsis. Early diagnosis and appropriate antibiotic might prevent serious complications.
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[Bacterial parotitis in an immunocompromised patient in adult ICU]. ACTA ACUST UNITED AC 2013; 32:615-7. [PMID: 23948025 DOI: 10.1016/j.annfar.2013.06.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2013] [Accepted: 06/06/2013] [Indexed: 11/23/2022]
Abstract
Bacterial parotitis is a common childhood disease with a favorable outcome. Staphylococcus aureus is the most frequently involved pathogen. Clinical presentation in adult patients can be misleading, Onset occurs in patients with multiple comorbidities, making diagnosis difficult--particularly in ICU. Different pathogens are found in adults with worse outcomes observed. We report here the case of a critically ill patient and discuss diagnosis and management of bacterial parotitis.
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Ismail EA, Seoudi TM, Al-Amir M, Al-Esnawy AA. Neonatal suppurative parotitis over the last 4 decades: report of three new cases and review. Pediatr Int 2013; 55:60-4. [PMID: 23039834 DOI: 10.1111/j.1442-200x.2012.03738.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2012] [Revised: 09/04/2012] [Accepted: 09/05/2012] [Indexed: 11/26/2022]
Abstract
BACKGROUND Neonatal suppurative parotitis is a rare disease. Only 32 cases were reported in the English-language literature between 1970 and 2004. METHODS We searched Medline for acute, neonatal, bacterial, suppurative, parotitis, facial, preauricular swelling starting from 1970, limiting our search to the English-language literature. We reviewed all the reported cases together with three more managed in our department. RESULTS We identified nine new cases since 2004. The total number of patients reviewed was 44, including our patients. Most of them were male (77%). The majority developed unilateral inflamed parotid swelling (77%) and exuded pus from the ipsilateral Stensen duct. Fever was seen in fewer than half of them (47%). Premature babies constituted a third of the patients. Staphylococcus aureus was the leading causative agent (61%). Most patients responded well to conservative treatment with antibiotics (77%). The most frequently used combination of antibiotics was an anti-staphylococcal agent with either an aminoglycoside or a third-generation cephalosporin. A minority required surgical drainage. No deaths were reported in the group studied after 1970. CONCLUSION Neonatal suppurative parotitis is rare but easy to diagnose and if readily treated with appropriate antibiotics the outcome is excellent.
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Monolateral suppurative parotitis in a neonate and review of literature. Int J Pediatr Otorhinolaryngol 2012; 76:930-3. [PMID: 22575436 DOI: 10.1016/j.ijporl.2012.04.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Revised: 04/05/2012] [Accepted: 04/07/2012] [Indexed: 11/23/2022]
Abstract
OBJECTIVES 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. METHODS A case report and review of the literature. RESULTS 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. CONCLUSIONS 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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Özdemir H, Karbuz A, Ciftçi E, Fitöz S, Ince E, Doğru U. Acute neonatal suppurative parotitis: a case report and review of the literature. Int J Infect Dis 2011; 15:e500-2. [PMID: 21621441 DOI: 10.1016/j.ijid.2011.04.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2011] [Revised: 04/08/2011] [Accepted: 04/12/2011] [Indexed: 11/18/2022] Open
Affiliation(s)
- Halil Özdemir
- Department of Pediatric Infectious Diseases, Ankara University Medical School, Dikimevi, Ankara, Turkey.
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Abstract
A 3-day-old boy was admitted for right preauricular swelling. Examination showed a toxic looking neonate with poor neonatal reflexes. There was erythema and swelling of 4 × 3 cm at the level of the right cheek. Laboratory investigation pointed to a bacterial infection. With parenteral antibiotics, the lesion resolved completely.
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Abstract
We describe two cases of neonatal suppurative parotitis caused by Staphylococcus aureus. Only 32 cases of neonatal suppurative parotitis (72% male) have been described in the English literature in the last 35 years. Thirty-eight percent were premature babies, only 41% were febrile and the causative agent in most cases was S. aureus. Recovery was achieved in 78% of the patients with antibiotic therapy without drainage.
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Affiliation(s)
- Ronen Spiegel
- Pediatric Departments A Ha'Emek medical Center, Afula, Israel
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