Isolated bilateral submandibular abscesses in a preterm infant: a case report

Area of Science:

• Neonatal Medicine
• Pediatric Surgery
• Otolaryngology

Background:

• Suppurative sialadenitis, an infection of the salivary glands, is uncommon in newborns.
• Isolated submandibular gland involvement is exceptionally rare, with limited documented instances.
• Understanding the etiology and management of neonatal salivary gland infections is crucial for early intervention.

Observation:

• A premature infant presented with isolated, bilateral submandibular abscesses.
• The clinical presentation mimicked other neonatal infections, necessitating careful differential diagnosis.
• Imaging and clinical examination were key to identifying the specific site of infection.

Findings:

• The case highlights the possibility of bilateral submandibular abscesses as a presentation of neonatal suppurative sialadenitis.
• Discussion includes potential etiologies, such as ascending infection or hematogenous spread.
• Diagnostic challenges and successful management strategies are detailed.

Implications:

• This case expands the understanding of rare neonatal surgical emergencies.
• It emphasizes the importance of considering suppurative sialadenitis in the differential diagnosis of neck masses or sepsis in neonates.
• Optimal management strategies may improve outcomes for affected infants.