Abstract | BACKGROUND: Neonatal suppurative parotitis is a rare disease. Only 32 cases were reported in the English-language literature between 1970 and 2004. METHODS: We searched Medline for acute, neonatal, bacterial, suppurative, parotitis, facial, preauricular swelling starting from 1970, limiting our search to the English-language literature. We reviewed all the reported cases together with three more managed in our department. RESULTS: We identified nine new cases since 2004. The total number of patients reviewed was 44, including our patients. Most of them were male (77%). The majority developed unilateral inflamed parotid swelling (77%) and exuded pus from the ipsilateral Stensen duct. Fever was seen in fewer than half of them (47%). Premature babies constituted a third of the patients. Staphylococcus aureus was the leading causative agent (61%). Most patients responded well to conservative treatment with antibiotics (77%). The most frequently used combination of antibiotics was an anti-staphylococcal agent with either an aminoglycoside or a third-generation cephalosporin. A minority required surgical drainage. No deaths were reported in the group studied after 1970. CONCLUSION: Neonatal suppurative parotitis is rare but easy to diagnose and if readily treated with appropriate antibiotics the outcome is excellent.
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Authors | Essam A Ismail, Tarek M Seoudi, Mohamad Al-Amir, Ahmad A Al-Esnawy |
Journal | Pediatrics international : official journal of the Japan Pediatric Society
(Pediatr Int)
Vol. 55
Issue 1
Pg. 60-4
(Feb 2013)
ISSN: 1442-200X [Electronic] Australia |
PMID | 23039834
(Publication Type: Case Reports, Journal Article, Review)
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Copyright | © 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society. |
Topics |
- Female
- Humans
- Infant, Newborn
- Male
- Parotitis
(diagnosis)
- Staphylococcal Infections
(diagnosis)
- Suppuration
(diagnosis)
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