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Acute Parotitis as a Complication of Noninvasive Ventilation
S Alaya1, Ali Mofredj2, K Tassaioust1
1Service de Réanimation, Centre Hospitalier Général, Salon de Provence, France.
Journal of Intensive Care Medicine
|March 2, 2016
Summary
Noninvasive ventilation (NIV) can cause rare parotid gland swelling. Prompt treatment with antibiotics, corticosteroids, and mask adjustment resolved the condition in an elderly patient with heart failure.
Area of Science:
- Critical Care Medicine
- Otolaryngology
- Pulmonology
Background:
- Noninvasive ventilation (NIV) is a common respiratory support method in intensive care and emergency settings.
- While generally safe, NIV is associated with several potential complications, including oral dryness, skin breakdown, and gastric issues.
Observation:
- A rare case of acute unilateral parotitis (parotid gland swelling) occurred in an 82-year-old male patient.
- The patient received prolonged NIV for acute heart failure, a condition not typically linked to parotid gland inflammation.
Findings:
- The parotitis presented as unilateral swelling of the parotid gland during NIV therapy.
- Treatment involved intravenous antibiotics, corticosteroids, and repositioning of the NIV mask straps.
Implications:
- This case highlights acute parotid gland swelling as a potential, albeit rare, complication of NIV.
- Early recognition and appropriate management, including supportive care and pharmacological interventions, can lead to rapid symptom resolution.
- Further investigation may be warranted to understand the specific mechanisms linking NIV to parotid gland inflammation.
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