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[Neonatal acute suppurative parotitis].
J Ayala Curiel1, P Galán del Río, C Poza del Val
1Servicio de Pediatría, Unidad de Neonatología, Hospital de Basurto, Bilbao, Vizcaya, España. javierac@euskalnet.net
Anales De Pediatria (Barcelona, Spain : 2003)
|February 28, 2004
Summary
Acute suppurative parotitis is a rare neonatal infection. Early diagnosis and antistaphylococcal antibiotics offer a good prognosis for affected newborns.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pediatric Surgery
Background:
- Acute suppurative parotitis is an uncommon bacterial infection of the parotid salivary gland.
- Predisposing factors in neonates include dehydration and prematurity.
- Fewer than 100 cases have been documented in medical literature.
Observation:
- Two cases of neonates presenting with fever, unilateral parotid swelling, erythema, and purulent discharge are described.
- Clinical signs included localized pain and swelling of the parotid region.
- Discharge originated from Stensen's duct, indicating parotid gland involvement.
Findings:
- Diagnosis relies on clinical presentation, supported by white blood cell count and parotid ultrasonography.
- Staphylococcus aureus is the most frequent causative pathogen.
- Effective treatment involves 7-10 days of empiric antistaphylococcal antimicrobial therapy.
Implications:
- Prompt diagnosis and appropriate antibiotic treatment lead to favorable outcomes in neonatal acute suppurative parotitis.
- The condition typically does not result in recurrent episodes.
- This case series and literature review contribute to understanding this rare neonatal condition.