Specimens of necrotic tissue were collected and sections were stained with hematoxylin and eosin. Recurrent suppurative parotitis occurs throughout childhood. Acute viral parotitis is not a common symptom of influenza virus infection and is much more commonly seen following infection with the mumps virus. Background neonatal suppurative parotitis is a rare disease. Pdf pediatric suppurative parotitis caused by burkholderia. Caused by retrograde migration of oral bacteria into salivary ducts and parenchyma. Suppurative periodontitis definition of suppurative. A study by spiegel et al identified only 32 cases in the english literature between 1970 and 2004.
Suppurative parotitis in children jama pediatrics jama. Suppurative parotitis frequently affects premature infants 35%40% of cases and immunosuppressed children, with dehydration being the main predisposing factor 1921. Parotitis is the name given to inflammation and infection of the largest of the salivary glands known as the parotid glands. Started in 1995, this collection now contains 6705 interlinked topic pages divided into a tree of 31 specialty books and 731 chapters.
Parotitis is a well recognized entity in the adult population, however there are very few studies concerning the clinical presentation and management of this condition in children. Suppurative parotitis typically occurs in elderly postoperative patients who are dehydrated or intubated, although it may also be seen in outpatients. The causes of suppurative parotitis in cambodian children are not known. A male infant born at 37 weeks of gestation by caesarean delivery presented to the emergency room at 17 days of age with incessant crying mostly during breast feeding which had started a few hours ago. Suppurative parotitis and submandibular sialadenitis hamid. Axial and coronal series demonstrate a significantly enlarged, heterogeneously enhancing right parotid gland, compatible with severe right parotitis. Objectives to characterize pediatric parotitis in a tertiary care setting, with the goal of clarifying management recommendations and outcomes. We describe two cases of neonatal suppurative parotitis caused by staphylococcus aureus. Salivary glands are responsible for producing saliva in the mouth, which has the important function of cleansing the mouth. Only 32 cases of neonatal suppurative parotitis 72% male have been described in the english literature in the last 35 years. Suppurative parotitis symptoms, diagnosis, treatments and.
Acute suppurative parotitis in a 33dayold patient journal of. Sialadenitis and cervical lymphadenitis are frequently caused by grampositive cocci in children. Systemic melioidosis presenting as suppurative parotitis. The presentation can be acute, recurrent, or chronic. A dreadful complication in elderly surgical patients pavlos lampropoulos, spyros rizos, and athanasios marinis abstract background. Abstract background neonatal suppurative parotitis is a rare disease. The relative risk of developing neonatal suppurative parotitis in admitted infants was 5. Acute suppurative infections of salivary glands in the newborn. Effective treatment includes prompt diagnosis, parenteral antibiotics and supportive measures such as rehydration and bimanual gland massage. Patients with sialadenitis often are improved following sialography. N2 acute suppurative parotitis is an inflammatory process of the parotid gland most often caused by stasis within or obstruction of the stensen duct leading to polymicrobial bacterial infection.
Thirtytwo cases of suppurative parotitis have been studied with respect to the course of the disease, bacteriologic features, differential diagnosis, and treatment. Acute bacterial suppurative parotitis is caused most commonly by staphylococcus aureus and mixed oral aerobes andor anaerobes. Acute suppurative parotitis was a well recognized complication of abdominal surgeries prior to routine administration of perioperative antibiotics. Raine skip to main content we use cookies to distinguish you from other users and to provide you with a better experience on our websites. Neonatal sialadenitis of the submandibular gland is a very rare clinical entity.
Ductal obstruction by calculi or tumor may predispose to suppuration. Case presentation herein, we report the recovery of burkholderia pseudomallei from the pus of a suppurative parotitis observed in a 12yearold boy who lived in hainan province, china. Two submandibular glands are at the back of the mouth on both sides of the jaw. It is not a selflimited disease, but may extend beyond puberty into late adolescence and adult life. Primary and secondary sjogrens syndrome in children a comparative study. Acute bacterial suppurative parotitis may occur when salivary stasis permits retrograde seeding of the stensens duct by a mixed oral flora. Common presentations, such as a painful or swollen gland, can be caused by numerous disorders of strikingly variable severity and consequences, including inflammatory, infectious, and neoplastic conditions, for which treatment can differ significantly, and referral for specialty care is sometimes necessary. True incidence is unknown, but thought to be the second most common cause of salivary disease in children worldwide after mumps. On examination, the infant was very irritable and crying. The incidence of parotitis has been reported to be 0. Jun 01, 2014 salivary gland disorders include inflammatory, bacterial, viral, and neoplastic etiologies. Fifteen other newborns with isolated submandibular sialadenitis have been reported in the english language literature.
Acute suppurative parotitis is an inflammatory process of the parotid gland most often caused by stasis within or obstruction of the stensen duct leading to polymicrobial bacterial infection. It often occurs in the setting of debilitation, dehydration, and poor oral hygiene, particularly among elderly postoperative patients. Thirtyeight percent were premature babies, only 41% were febrile and the causative agent in most cases was s. Multiple factors, independently or in combination, can result in acute, chronic, or recurrent acute salivary gland inflammation. Here, a 33dayold patient with acute suppurative parotitis is presented. Case presentation herein, we report the recovery of burkholderia pseudomallei from the pus of a suppurative parotitis observed in a. Acute infection of the parotid gland can be caused by a variety of bacteria and viruses. During a 9year study period, five cases of neonatal suppurative parotitis were detected in 3,624 hospital admissions. Staphylococcus aureus was the causative organism most commonly detected in the hospitalacquired cases. More detailed information about the symptoms, causes, and treatments of suppurative parotitis is available below. Pediatric suppurative parotitis psp is uncommon, and details relating to. Suppurative parotitis caused by burkholderia pseudomallei has been rarely found outside endemic areas. Hospitalists are most likely to encounter this condition as a postoperative complication caused by dehydration, poor oral hygiene, medications that reduce.
Serious bacterial infection of parotid gland that occurs in patients with decreased salivary flow. Acute suppurative parotitis asp is a severe infection seen particularly in elderly surgical patients. Pediatric suppurative parotitis in cambodia 20072011 ncbi. Inflammation of one or more of these glands is called parotitis, or parotiditis. Section of infectious diseases, department of pediatrics, ankara university faculty of medicine, ankara, turkey summary. Pdf background suppurative parotitis caused by burkholderia pseudomallei has been rarely found outside endemic areas. Parotitis is an inflammation of one or both parotid glands, the major salivary glands located on either side of the face, in humans. At imaging, inflamed salivary glands are often enlarged, with their borders ranging from welldefined to poorly defined. This is a pdf file of an unedited manuscript that has been accepted for publication.
Viral etiologies include mumps and human immunodeficiency virus, and treatment is directed at the underlying disease. Systemic melioidosis presenting as suppurative parotitis so shivbalan, n isha reddy, v aidehi tiru and kuruvilla thomas from the departments of pediatrics and microbiology, sundaram medical foundation, dr rangarajan memorial hospital, shanthi colony, iv avenue, annanagar, chennai 600 040, india. Summary thirtytwo patients with suppurative parotitis, ranging in age from 3 months to 20 years, were seen at childrens hospital medical center during the period from 1947 to 1969. There is no evidence of an obstructing sialolith, although variable degrees of ductal ectasia are noted the left maxillary sinus is opacified, as is most of the left ethmoidal sinus asymmetric developmental enlargement of.
Salivary gland disorders american family physician. Mar 19, 2012 acute suppurative parotitis asp is a rare finding in the neonate. We describe 39 cases at the angkor hospital for children, siem reap, between january 2007 and july 2011 0. Specimens of necrotic tissue were collected and sections were stained with hematoxylin and. The course of the disease, bactiologie features, differential diagnosis, and treatment have been discussed. Pediatric suppurative parotitis in cambodia 20072011. Selflimited and resolves spontaneous after puberty. How common is acute parotitis with influenza infection. We dont know exactly how commonly parotitis occurs with. Imaging evaluation of pediatric parotid gland abnormalities.
Pediatric suppurative parotitis psp is uncommon, and details relating to presentation, etiology and management are restricted to a few case series and multiple case reports. Abscess formation may also arise by contiguous infection or hematogenous seeding to the intraparotid or periparotid lymph nodes. Herein, we report the recovery of burkholderia pseudomallei from the pus of a suppurative parotitis observed in a 12yearold. The recent original article, suppurative parotitis in children by drs. Pediatric suppurative parotitis in cambodia between 2007. Pediatric suppurative parotitis in cambodia between 2007 and. Acute suppurative parotitis a single attack occurs in the newborn period, sporadically throughout the remainder of childhood, and in association with terminal illnesses. Suppurative parotitis definition of suppurative parotitis.
Parotitis is a topic covered in the johns hopkins abx guide to view the entire topic, please sign in or purchase a subscription official website of the johns hopkins antibiotic abx, hiv, diabetes, and psychiatry guides, powered by unbound medicine. All of the salivary glands empty saliva into the mouth through ducts that open at various locations in the mouth. The parotid gland is the salivary gland most commonly affected by inflammation. Acute bacterial suppurative parotitis of the neonate. Acute suppurative parotitis is no longer commonly encountered in surgical practice. M aking a diagnosis of a salivary gland disorder can be difficult. Two sublingual glands are under the floor of the mouth. Presentation is key to diagnosing salivary gland disorders. Acute suppurative parotitis and facial paralysis the. Another study by ismail et al identified 12 new cases in the english literature since 2004.
Presentation of acute suppurative parotitis in a newborn. Acute suppurative parotitis and facial paralysis volume 110 issue 1 y. Suppurative parotitis in children jama pediatrics jama network. Acute suppurative parotitis asp is a rare finding in the neonate. Empirically, in recurrent parotitis sialography may also be therapeutic. It mainly occurs in old or debilitated people who tend to have a dry mouth and a reduced salivary flow. Parotitis is inflammation of the parotid salivary gland. We describe 39 cases at the angkor hospital for children, siem reap, between january 2007. Fever, facial swelling, erythema, pain, lymphadenopathy, trismus, purulent aural discharge and facial palsy are all described with psp, and the presence of pus at the opening of the parotid stensens duct is. Nov 25, 2016 juvenile recurrent parotitis is a common cause. Neonatal suppurative parotitis nsp is an uncommon disease with a prevalence of 3.
Gustafson1 found 5 cases in a threeyear period 19471950 at the university hospitals, university of. A 7yearold girl with allergic rhinitis has experienced four episodes of parotitis during the last six months. Parotitis infectious disease and antimicrobial agents. Sialadenitis in the pediatric population accounts for up to 10% of all salivary gland disease. Neonatal suppurative parotitis over the last 4 decades. Herein, we report the recovery of burkholderia pseudomallei from the pus of a suppurative parotitis observed in a 12yearold boy who lived in hainan province, china. Staphylococcus aureus was the causative organism most commonly detected in the hospital. Parotid swelling and pus drainage from stensons duct is pathognomonic, and staphylococcus aureus is the causative agent in most cases. Pdf neonatal suppurative parotitis nsp is an uncommon disease. Acute suppurative parotitis is a rare disease in childhood. Journal of tropical pediatrics, volume 61, issue 3, june 2015, pages 218221. Other predisposing factors include recent intensive teeth cleaning, use of anticholinergic drugs and other drugs that reduce salivary flow, malnutrition, salivary calculi with obstruction, and. Neonatal sialadenitis of the submandibular gland caused by staphylococcus aureus is described in 2 full term newborns without any risk factors.
Meds cause systemic dehydration or decrease salivary flow. There are a number of causes, including viruses and bacteria. Viral parotitis and juvenile recurrent parotitis are the two most common causes. Suppurative parotitis in neonates is a very rare disorder. Acute suppurative parotitis report of two cases nejm. Inflammation results in swelling of the tissues that surround the salivary glands, redness, and soreness. Acute suppurative parotitis in a 33dayold patient journal. Acute parotitis is recent swelling of one or both of the salivary glands.
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