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Mumps Presenting as a Parotid Abscess

Jong Seung Kim1, Jong Seok Oh, Sam Hyun Kwon

  • 1*Department of Otorhinolaryngology-Head and Neck Surgery, Chonbuk National University †Research Institute of Clinical Medicine, Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital, Jeonju ‡Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Republic of Korea.

The Journal of Craniofacial Surgery
|May 10, 2016
PubMed

Insights

Parotid abscess is rare in infants, often linked to prematurity. This case highlights a 10-month-old infant with mumps who developed a parotid abscess requiring surgical drainage and antibiotics.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Parotid abscesses are uncommon in infants, frequently associated with prematurity, prolonged gavage feeding, and dehydration.
  • Mumps, a viral illness caused by paramyxovirus, typically affects the parotid glands but can rarely involve other organs.
  • Infantile parotid abscesses necessitate prompt diagnosis and management to prevent complications.

Observation:

  • A 10-month-old infant presented with symptoms consistent with mumps.
  • The infant developed unilateral acute parotitis, a hallmark of mumps infection.
  • The parotitis progressed to the formation of a parotid abscess.

Findings:

  • The parotid abscess in this infant case was successfully treated with two rounds of surgical drainage.
  • Antibiotic therapy was administered concurrently with surgical interventions.
  • The infant's condition improved following the combined treatment approach.

Implications:

  • This case underscores the importance of considering mumps as a potential cause of parotid abscess in infants.
  • Early surgical intervention and appropriate antibiotic selection are crucial for managing infantile parotid abscesses.
  • Further research may elucidate specific risk factors and optimal management strategies for this rare pediatric condition.

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