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Neonatal Parotitis: A case report.

Nawal Khan1, Asad Abdullah1, Farhana Zafar1

  • 1Department of Pediatrics, Dr Ziauddin Hospital, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|June 10, 2021
PubMed
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Neonatal parotitis, a rare condition causing facial swelling and feeding issues in newborns, requires prompt diagnosis and treatment. This case report highlights successful management and full recovery, emphasizing its importance in differential diagnoses.

Area of Science:

  • Neonatal Medicine
  • Pediatric Infectious Diseases

Background:

  • Acute parotitis is an uncommon condition in neonates, often presenting with non-specific symptoms.
  • Early recognition is crucial for appropriate management and preventing complications.

Observation:

  • A 17-day-old, 35-week premature infant presented with facial swelling, fever, and feeding reluctance.
  • Clinical examination revealed an erythematous, tender swelling in the left pre-auricular region.

Findings:

  • Diagnostic workup and ultrasound confirmed parotitis, with negative blood cultures.
  • The neonate developed a nosocomial infection, prolonging hospitalization but ultimately resolving with antibiotic treatment.

Implications:

  • Acute parotitis should be considered in neonates with facial swelling, feeding difficulties, or crying.
Keywords:
Parotitis • neonate • Hospital-acquired infections (HAI).

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  • Timely diagnosis and management of neonatal parotitis lead to favorable outcomes and minimize complications.