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Bilateral Neonatal Suppurative Sialadenitis Progressing to Abscess Formation in a Preterm Neonate
N Shaughnessy1, T McGrath1, M Moore2
1Department of Neonatology, Cork University Maternity Hospital, Wilton, Cork, Co. Cork, Ireland
Neonatal suppurative sialadenitis (NSS) is a rare condition affecting premature infants. Early recognition and intervention are crucial for managing this salivary gland infection in extremely low birth weight (ELBW) neonates.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Infectious Diseases
Background:
- Neonatal suppurative sialadenitis (NSS) is an uncommon bacterial infection of the salivary glands in newborns.
- Extremely low birth weight (ELBW) infants may be at increased risk due to immature immune systems.
Observation:
- A case of bilateral NSS presented as sub-mandibular swelling in an ELBW infant at 3 weeks of age.
- Ultrasound confirmed NSS with abscess formation, which progressed despite initial intravenous antibiotic therapy.
- One abscess spontaneously discharged via Wharton's duct, requiring airway protection via intubation.
Findings:
- Surgical incision and drainage of the abscess remnant were performed.
- Cultures identified methicillin-sensitive Staphylococcus aureus as the causative agent.
- The infant's NSS resolved after a two-week course of antibiotics.
Implications:
- This case underscores the importance of prompt diagnosis and management of NSS in preterm neonates.
- Early recognition can prevent complications such as airway compromise and facilitate timely treatment.
- Further research into risk factors and optimal management strategies for NSS in ELBW infants is warranted.
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