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Parotid abscess caused by Mycobacterium tuberculosis.

A Chatterjee1, M Varman, T W Quinlan

  • 1Combined Division of Pediatric Infectious Disease, Creighton University, University of Nebraska Medical Center, 2500 California Plaza, Room 409, Criss II, Omaha, NE 68178, USA. achatter@creighton.edu

The Pediatric Infectious Disease Journal
|December 6, 2001
PubMed
Summary

Tuberculosis of the parotid gland is a rare condition. This case highlights a 16-month-old infant diagnosed with parotid gland tuberculosis after presenting with cellulitis and lymphadenitis.

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Area of Science:

  • Pediatric infectious diseases
  • Microbiology
  • Otolaryngology

Background:

  • Tuberculosis (TB) typically affects the lungs, but extrapulmonary manifestations can occur.
  • Parotid gland involvement is an exceptionally rare form of TB, posing diagnostic challenges.

Observation:

  • A 16-month-old infant presented with periorbital cellulitis and preauricular lymphadenitis.
  • An abscess in the right intraparotid lymph node was surgically drained.
  • Microscopic examination of the aspirate revealed acid-fast bacilli.

Findings:

  • Culture of the aspirate confirmed the presence of Mycobacterium tuberculosis.
  • The infant was diagnosed with tuberculosis of the parotid gland.
  • Postoperative treatment with antitubercular medications was initiated.

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Implications:

  • This case underscores the importance of considering rare diagnoses, including tuberculosis, in pediatric lymphadenitis.
  • Early identification and treatment are crucial for favorable outcomes in pediatric extrapulmonary TB.
  • Awareness of atypical TB presentations is vital for clinicians managing pediatric infections.