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[Pediatric Mumps Parotid Abscess with Fistula Formation: A Case Report].

Yotam Heilig1, Gal Mager1, Shalom Ben Shimol2

  • 1Department of Otolaryngology and Head and Neck Surgery, Soroka Medical Center.

Harefuah
|June 25, 2026
PubMed
Summary

Mumps infection can rarely cause parotid abscesses in children. This case highlights a rare parotid abscess from mumps, complicated by a persistent salivary fistula, suggesting needle aspiration may be safer than incision and drainage.

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Otolaryngology

Background:

  • Mumps infection typically causes parotitis in children.
  • Parotid abscess secondary to mumps is exceedingly rare.
  • This case presents the first reported instance of a mumps-induced parotid abscess complicated by a persistent salivary fistula.

Purpose of the Study:

  • To report the first case of a parotid abscess secondary to mumps infection.
  • To discuss the management of mumps-induced parotid abscess and associated salivary fistula.
  • To evaluate treatment modalities for mumps-related parotid abscesses.

Main Methods:

  • Case report of a 21-month-old unvaccinated boy with parotid swelling.
  • Sonographic evaluation and incision and drainage (I&D) of the parotid abscess.
  • Serological confirmation of acute mumps infection and management of a subsequent salivary fistula.

Main Results:

  • The patient presented with a 15-day history of right cheek swelling, unresponsive to antibiotics.
  • I&D of the parotid abscess revealed acute mumps infection.
  • Two months post-drainage, the patient developed an infected, persistent salivary fistula.

Conclusions:

  • Mumps-induced parotid abscess is rare and may lead to complications like salivary fistula.
  • Needle aspiration may be a safer alternative to I&D for mumps-induced parotid abscesses.
  • Conservative management of parotid fistulas is recommended, with surgery reserved for refractory cases.