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Pediatric parotitis: a 5-year review at a tertiary care pediatric institution
Benjamin C Stong1, James A Sipp, Steven E Sobol
1Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA.
Insights
Pediatric parotitis is uncommon. Inpatients often have co-morbidities and require advanced care, while outpatients typically recover with conservative treatment.
Area of Science:
- Pediatric Otolaryngology
- Infectious Diseases in Children
Background:
- Parotitis is common in adults but understudied in children.
- Limited data exists on pediatric parotitis presentation and management.
Purpose of the Study:
- Characterize pediatric parotitis in a tertiary care setting.
- Clarify management recommendations and outcomes for pediatric parotitis.
Main Methods:
- Retrospective chart review of pediatric parotitis patients (1999-2004).
- Analysis of inpatient and outpatient management strategies.
- Comparison of clinical presentations and care differences.
Main Results:
- Twenty-one pediatric patients diagnosed with parotitis.
- Inpatients (62%) frequently had co-morbidities, dehydration, fever, and leukocytosis.
- Outpatients (38%) had no co-morbidities and resolved with conservative care; 15% of inpatients required surgical drainage for abscesses.
Conclusions:
- Pediatric parotitis is rare.
- Inpatient care may be needed for children with co-morbidities, fever, or leukocytosis.
- Surgical intervention is generally not recommended unless for abscess drainage.
Background:
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.
Objectives:
To characterize pediatric parotitis in a tertiary care setting, with the goal of clarifying management recommendations and outcomes.
Methods:
The charts of all pediatric patients with a diagnosis of parotitis treated at a tertiary care academic institution from 1999 to 2004 were reviewed. The management of inpatients and outpatients were characterized to define differences in presentation and care.
Results:
Twenty-one children (6 months-15 years) with a diagnosis of parotitis were identified. Thirteen (62%) children were treated as inpatients, of which seven (54%), had significant medical co-morbidities. The most common clinical presentations of the inpatient group included dehydration (46%), fever (38%) and leukocytosis (46%). Two inpatients (15%) required surgical drainage due to abscess formation. Eight children (38%) were treated as outpatients, none with associated co-morbidity, fever, leukocytosis, or complication due to infection. All outpatients were treated with oral antibiotics or conservative therapy with eventual resolution.
Conclusions:
Parotitis in the pediatric population is uncommon. The presence of a significant co-morbidity, fever, or leukocytosis may require inpatient therapy and imaging if patients fail to improve with medical therapy. Other than abscess drainage, surgery for parotitis in children is not routinely recommended.
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