Suppurative parotitis: Difference between revisions

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*Serious bacterial infection of parotid gland that occurs in patients with decreased salivary flow
*Serious bacterial infection of parotid gland that occurs in patients with decreased salivary flow
**Caused by retrograde migration of oral bacteria into salivary ducts and parenchyma
**Caused by retrograde migration of oral bacteria into salivary ducts and parenchyma
**Usually caused by staph, strep, anerobes
**Usually caused by staph, strep, anaerobes


===Risk factors===
===Risk factors===
*Dehydration
*[[Dehydration]]
*Prematurity or advanced age
*Prematurity or advanced age
*Sialolithiasis
*[[Sialolithiasis]]
*Oral neoplasms
*Oral neoplasms
*Salivary duct strictures
*Salivary duct strictures
*Meds (cause systemic dehydration or decrease salivary flow)
*Meds (cause systemic dehydration or decrease salivary flow)
**Diuretics
**[[Diuretics]]
**[[Antihistamines]]
**[[Antihistamines]]
**[[TCAs]]
**[[TCAs]]
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*Chronic illnesses
*Chronic illnesses
**[[HIV]]
**[[HIV]]
**Sjogren syndrome
**[[Sjögren Syndrome]]
**Anorexia/bulimia
**[[Anorexia nervosa]]/[[bulimia nervosa]]
**[[Cystic fibrosis]]
**[[Cystic fibrosis]]


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*Skin over parotid gland is red and tender
*Skin over parotid gland is red and tender
*Purulent drainage from Stensen's duct  
*Purulent drainage from Stensen's duct  
*Fever  
*[[Fever]]
*Trismus
*Trismus


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==Management==
==Management==
===Supportive Care===
===Supportive Care===
#Hydrate the volume-depleted patient
#[[IVF|Hydrate]] the volume-depleted patient
#Massage and apply heat to the affected gland
#Massage and apply heat to the affected gland
#Stimulate salivation using sialagogues such as lemon drops
#Stimulate salivation using sialogogues such as lemon drops
===[[Antibiotic]] Options===
===[[Antibiotic]] Options===
{{Suppurative Parotitis Antibiotics}}
{{Suppurative Parotitis Antibiotics}}
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*[[Salivary gland diagnoses]]
*[[Salivary gland diagnoses]]
==References==
==References==
 
<references/>
[[Category:ENT]]
[[Category:ENT]]
[[Category:ID]]
[[Category:ID]]

Revision as of 22:47, 30 September 2019

Background

  • Serious bacterial infection of parotid gland that occurs in patients with decreased salivary flow
    • Caused by retrograde migration of oral bacteria into salivary ducts and parenchyma
    • Usually caused by staph, strep, anaerobes

Risk factors

Clinical Features

  • Rapid onset
  • Skin over parotid gland is red and tender
  • Purulent drainage from Stensen's duct
  • Fever
  • Trismus

Differential Diagnosis

Facial Swelling

Evaluation

  • Usually clinical

Management

Supportive Care

  1. Hydrate the volume-depleted patient
  2. Massage and apply heat to the affected gland
  3. Stimulate salivation using sialogogues such as lemon drops

Antibiotic Options

Treatment targeted at S. aureus, gram negative bacilli, mumps, enteroviruses, and influenza virus

See Also

References