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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
PubMed
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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.

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  • 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.