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Neonatal suppurative parotitis over the last 4 decades: Report of three new cases and review
Author(s) -
Ismail Essam A,
Seoudi Tarek M,
AlAmir Mohamad,
AlEsnawy Ahmad A
Publication year - 2013
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.2012.03738.x
Subject(s) - medicine , parotitis , antibiotics , cephalosporin , surgery , incision and drainage , pediatrics , abscess , microbiology and biotechnology , biology
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 E nglish‐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. S taphylococcus 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.