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El Omri M, Jemli S, Belakhdher M, Kermani W. Neonatal Suppurative Parotitis: Case Report and Review of Literature. EAR, NOSE & THROAT JOURNAL 2024:1455613241234281. [PMID: 38476055 DOI: 10.1177/01455613241234281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2024] Open
Abstract
Neonatal suppurative parotitis is a rare condition that is diagnosed primarily through clinical evaluation. The prognosis is generally good. In this report, we present the case of a 21-day-old female infant who was treated in our ENT department for neonatal suppurative parotitis. The patient presented with a feverish, hard, red, and tender swelling of the parotid loge which displaced the right earlobe outward. In addition, purulent exudate was observed from Stensen's duct. A computed tomography scan of the cervical and cerebral regions revealed a swollen right parotid gland with heterogeneous density and enhancement, but no detectable collection. The patient received intravenous antibiotics for 48 hours, resulting in a favorable outcome without the need for surgical treatment. The aim of this study is to emphasize the diagnostic and therapeutic aspects of this clinical condition. Suppurative parotitis should be suspected by the clinician in newborns who present with an inflammatory preauricular swelling, with or without contributing factors. The outcome is generally favorable, and complications are rare with timely and appropriate medical treatment.
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Affiliation(s)
- Malika El Omri
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Safaa Jemli
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
- Ear Nose and Throat Department and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse, Tunisia
| | - Mouna Belakhdher
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
- Ear Nose and Throat Department and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse, Tunisia
| | - Wassim Kermani
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
- Ear Nose and Throat Department and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse, Tunisia
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Paouris D, Dallos T, Pitiriga V. Polymicrobial Acute Suppurative Parotitis in a 33-Day-Old Infant: A Case Report and Review of the Literature. Clin Pediatr (Phila) 2022; 61:802-807. [PMID: 35678072 DOI: 10.1177/00099228221102712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Acute suppurative parotitis (ASP) of neonates is a rare condition characterized by irritability, erythema, and tenderness of the affected gland. METHODS/RESULTS Only few cases have been reported in Engilsh literature, mostly in male neonates, in a unilateral fashion. In our case, a polymicrobial etiology (Klebsiella pneumoniae, Staphylococcus aureus, Acinetobacter ursingii, and Acinetobacter junii) was found. Based on the review of the microbiological findings of cases of ASP in English literature for the years 1970 to 2020, S. aureus is the most commonly isolated microorganism (47% of the total 65 patients). Our patient was born with a C-section procedure and was not breast-fed, making dysbiosis along with the usage of the feeding bottle, possible risk factors for the development of ASP. CONCLUSIONS ASP may be due to polymicrobial etiology. Initial presentation in neonates may not include typical signs and symptoms, like fever. Aseptic technique of oral procedures is of utmost importance also in immune-competent neonates.
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Affiliation(s)
- D Paouris
- Pediatric Otorhinolaryngologic Clinic of the Medical Faculty of Comenius University and the National Institute of Children's Diseases, Bratislava, Slovakia
| | - T Dallos
- Pediatric Clinic of the Medical Faculty of Comenius University and the National Institute of Children's Diseases, Bratislava, Slovakia
| | - V Pitiriga
- Department of Microbiology, Medical School, University of Athens, Athens, Greece
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Affiliation(s)
- Taraneh Hadizadeh
- University of Queensland, Ochsner Clinical School, Herston, Queensland, Australia
| | - Omotola O Uwaifo
- University of Queensland, Ochsner Clinical School, Herston, Queensland, Australia.,Ochsner Baptist Hospital, Ochsner Health, New Orleans, LA, USA
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Cho JY, Youn JH, Park JS, Cho JM. The First Case of Acute Neonatal Suppurative Parotitis Caused by Escherichia coli in Korea. NEONATAL MEDICINE 2020. [DOI: 10.5385/nm.2020.27.2.94] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Ujita N, Kawasaki Y, Matsubara K, Kim K, Naito A, Hori M, Isome K, Iwata A, Yamaguchi Y, Chang B. Late onset group B streptococcus disease manifesting as acute suppurative parotitis. IDCases 2020; 21:e00799. [PMID: 32461904 PMCID: PMC7242865 DOI: 10.1016/j.idcr.2020.e00799] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 05/04/2020] [Accepted: 05/05/2020] [Indexed: 11/29/2022] Open
Abstract
Acute suppurative parotitis (ASP) caused by GBS primarily arises from bacteremia. Infectious route of is different between ASP infants by GBS and non-GBS pathogens. ASP should be included in an infectious focus as late-onset GBS disease. Blood cultures are essential for accurate diagnosis and optimal therapy.
Few patients with acute suppurative parotitis (ASP) due to group B streptococcus (GBS) have been documented. Limited data on clinical and microbiological features and infectious route are available. We present a 21-day-old boy with invasive GBS disease manifesting as ASP. The patient was admitted because of irritability, fever, and erythematous swelling over the right parotid area. No purulent material exuded from the Stensen’s duct. Ultrasonography and computed tomography of the neck showed findings indicative of ASP. On the day after admission, blood culture yielded GBS. The isolate was determined as GBS serotype Ia and sequence type-23, and the patient was successfully treated with intravenous ampicillin for 10 days. A review of the literature revealed 11 GBS ASP infants including ours with age at onset between 13 days and 12 weeks. All infants had bacteremia while pus from the Stensen’s duct was detected in only one case. This finding remarkably contrasts with ASP caused by pathogens other than GBS, where the infection usually spreads via a retrograde route from Stensen’s duct. The present case and literature review indicate GBS ASP primarily arises from bloodstream infection, and that ASP should be included in an infectious focus as late onset GBS disease.
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Affiliation(s)
- Nagisa Ujita
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Yu Kawasaki
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Kousaku Matsubara
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Kaya Kim
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Akiyoshi Naito
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Masayuki Hori
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Kenichi Isome
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Aya Iwata
- Department of Pediatrics, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | | | - Bin Chang
- Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan
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Bou Shaheen R, Al Khoury M, Seif S, Hamzeh H, Alameddine A. Acute Neonatal Suppurative Parotitis Due to Co-Infection by Non-Typable Beta-Hemolytic Streptococci and Escherichia coli: A Case Report. Cureus 2020; 12:e8279. [PMID: 32601555 PMCID: PMC7317125 DOI: 10.7759/cureus.8279] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Neonatal suppurative parotitis (NSP) is a very rare disease of the salivary glands, usually involving the parotids. It is mostly due to Staphylococcus aureus bacterial infection among patients with predisposing factors, and management mainly relies on hydration and intravenous antibiotics with an excellent prognosis. Herein, we present a case of an 11-day-old female baby who presented with left periauricular edema and tenderness associated with fever that was later diagnosed as NSP due to both non-typable beta-hemolytic streptococci and Escherichia coli. Antibiotics therapy (vancomycin and gentamicin) was started, and the patient recovered completely after nine days. The CAse REport (CARE) guidelines were followed for reporting our case. Our case reiterates the fact that NSP should be in the differential diagnosis of any neonate presenting with fever and parotid area swelling. Prompt diagnosis is necessary for early management with antibiotics and to avoid complications.
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Affiliation(s)
| | | | - Souad Seif
- Faculty of Medicine, Beirut Arab University, Beirut, LBN
| | - Huneida Hamzeh
- Faculty of Medicine, Beirut Arab University, Beirut, LBN
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Dias Costa F, Ramos Andrade D, Cunha FI, Fernandes A. Group B streptococcal neonatal parotitis. BMJ Case Rep 2015; 2015:bcr-2014-209115. [PMID: 26063107 DOI: 10.1136/bcr-2014-209115] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Acute neonatal parotitis (ANP) is a rare condition, characterised by parotid swelling and other local inflammatory signs. The most common pathogen is Staphylococcus aureus, but other organisms can be implicated. We describe the case of a 13-day-old term newborn, previously healthy, with late-onset group B Streptococcus (GBS) bacteraemia with ANP, who presented with irritability, reduced feeding and tender swelling of the right parotid. Laboratory evaluation showed neutrophilia, elevated C reactive protein and procalcitonin, with normal serum amylase concentration. Ultrasound findings were suggestive of acute parotitis. Empiric antibiotic therapy was immediately started and adjusted when culture results became available. The newborn was discharged after 10 days, with clinical improvement within the first 72 h. Although S. aureus is the most common pathogen implicated in ANP, GBS should be included in the differential diagnosis.
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Affiliation(s)
- Filipa Dias Costa
- Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal Pediatric Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Daniel Ramos Andrade
- Medical Imaging Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Filipa Inês Cunha
- Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal
| | - Agostinho Fernandes
- Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal
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Deepak K, Garima G, U J. Bilateral acute neonatal suppurative parotitis: A rare finding in neonatal age. J Neonatal Perinatal Med 2015; 8:4700U01136G65614. [PMID: 25758001 DOI: 10.3233/npm-15814056] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Acute suppurative parotitis is a rare entity in neonates. Bilateral involvement is extremely rare. Low birth weight, prematurity, gavage feeding, dehydration, sepsis are all known risk factors. Staphylococcus aureus is the most common organism, other organisms responsible for parotitis are streptococcus, E. coli, pseudomonas and klebsiella. We report a neonate suffering from bilateral acute suppurative parotitis with an unusual causative association. CPAP and its association for acute suppurative parotitis has been proposed.
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Affiliation(s)
- K Deepak
- Department of Pediatric, Lok Nayak Hospital and associated Maulana Azad Medical College, New Delhi, India
| | - G Garima
- Department of Pediatric, Lok Nayak Hospital and associated Maulana Azad Medical College, New Delhi, India
| | - J U
- Department of Pediatric, Lok Nayak Hospital and associated Maulana Azad Medical College, New Delhi, India
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Fortunato F, Carvalheiro I, Novais C, Carreira R, Brito N. Facial swelling in newborn. ACTA ACUST UNITED AC 2014; 12:384-5. [PMID: 25184804 PMCID: PMC4872957 DOI: 10.1590/s1679-45082014ai2606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Accepted: 12/02/2013] [Indexed: 11/22/2022]
Affiliation(s)
| | | | | | | | - Nádia Brito
- Centro Hospitalar Oeste Norte, Caldas da Rainha, Portugal
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Acute Neonatal Parotitis with Late-Onset Septic Shock due to Streptococcus agalactiae. Case Rep Pediatr 2014; 2014:689678. [PMID: 24653847 PMCID: PMC3933556 DOI: 10.1155/2014/689678] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Accepted: 12/24/2013] [Indexed: 11/25/2022] Open
Abstract
Acute neonatal parotitis (ANP) is a very rare disease. Most cases are managed conservatively; early antibiotics and adequate hydration may reduce the need for surgery. The most common cause of ANP is Staphylococcus aureus. We report a rare case of acute neonatal parotitis with late-onset septic shock due to Streptococcus agalactiae. The diagnosis was confirmed with ultrasound and isolation of Streptococcus agalactiae from blood culture. The patient was treated successfully with 10 days of intravenous antibiotics and supportive measures. Despite being rare, streptococcal ANP should be considered in the etiological diagnosis of neonatal sepsis. Early diagnosis and appropriate antibiotic might prevent serious complications.
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de Suremain N, Marteau E, Leruste A, Tournier C, Delamar AL, Carbajal R. Parotidite aiguë néonatale suppurative : revue de la littérature à propos d’une observation. Arch Pediatr 2014; 21:223-5. [DOI: 10.1016/j.arcped.2013.09.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2013] [Accepted: 09/24/2013] [Indexed: 10/26/2022]
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Donovan ST, Rohman GT, Selph JP, Rajan R, Stocks RM, Thompson JW. Methicillin-resistant Staphylococcus aureus as a cause of neonatal suppurative parotitis: a report of two cases and review of the literature. EAR, NOSE & THROAT JOURNAL 2014; 92:269-71. [PMID: 23780594 DOI: 10.1177/014556131309200609] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Suppurative parotitis is an uncommon entity identified in newborns. While Staphylococcus aureus has been frequently identified as the causative pathogen among the few patients diagnosed with neonatal suppurative parotitis (NSP), there has only been one prior case described in the literature that was due to methicillin-resistant Staphylococcus aureus (MRSA). Because of its virulence, MRSA presents new and substantial challenges for the surgeon; we describe two cases of NSP caused by MRSA and the subsequent surgical intervention necessitated for cure. We also include a review of all cases of NSP described in the English-language literature.
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Affiliation(s)
- Sean T Donovan
- Department of Otolaryngology, The University of Florida and Shands Hospital, 1600 SW Archer Rd., Gainesville, FL 32610, USA.
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Hoffman MR, McCulloch TM. Relief from cluster headaches following extraction of an ipsilateral infected tooth. EAR, NOSE & THROAT JOURNAL 2014; 92:264, 266, 268 passim. [PMID: 23780593 DOI: 10.1177/014556131309200608] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
A 60-year-old man with a 7-year history of cluster headaches was seen by an oral surgeon for evaluation of pain in the left upper second molar ipsilateral to the side affected by the headaches. During extraction of the tooth, infection, decay, and inflammation were discovered. Since the extraction in November 2008, the patient has experienced one episode of cluster headaches as of April 2013.
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Affiliation(s)
- Matthew R Hoffman
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Box 7375 Clinical Science Center-H4, 600 Highland Ave., Madison, WI 53792, USA
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Ismail EA, Seoudi TM, Al-Amir M, Al-Esnawy AA. Neonatal suppurative parotitis over the last 4 decades: report of three new cases and review. Pediatr Int 2013; 55:60-4. [PMID: 23039834 DOI: 10.1111/j.1442-200x.2012.03738.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2012] [Revised: 09/04/2012] [Accepted: 09/05/2012] [Indexed: 11/26/2022]
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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Monolateral suppurative parotitis in a neonate and review of literature. Int J Pediatr Otorhinolaryngol 2012; 76:930-3. [PMID: 22575436 DOI: 10.1016/j.ijporl.2012.04.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Revised: 04/05/2012] [Accepted: 04/07/2012] [Indexed: 11/23/2022]
Abstract
OBJECTIVES Neonatal suppurative parotitis is a rare condition characterized by swelling, pain, and erythema over the affected gland. Antimicrobials and adequate hydration are an essential part of treatment. Surgical intervention is reserved for organized abscesses and for infections not responding to medical management. METHODS A case report and review of the literature. RESULTS Only few case reports and case series are reported in literature on neonatal parotitis. Transmission of bacteria seems to occur mainly by ascending spread through Stensen's duct, or by hematogenous spread from a distant focus. Dehydration, low birth weight, immune suppression, ductal obstruction, oral trauma and structural abnormalities of the parotid gland are recognised as risk factors. The most common pathogen is Staphylococcus aureus. Other less frequent agents are other Gram-positive cocci, Gram-negative bacilli and rarely anaerobic bacteria. Advances in antimicrobial therapy have improved both outcome and prognosis. CONCLUSIONS Thanks to the prompt antibiotic treatment complications are now drastically reduced. Ultrasound examination may help in the diagnosis and monitoring of clinical course.
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D'Souza JN, Geary C, Mukerji S. Neonatal parotid gland enlargement: Is it suppurative parotitis? A case report. AMERICAN JOURNAL OF CASE REPORTS 2012; 13:41-3. [PMID: 23569484 PMCID: PMC3616007 DOI: 10.12659/ajcr.882598] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2011] [Accepted: 11/03/2011] [Indexed: 11/25/2022]
Abstract
Background: Acute suppurative parotitis (ASP) is a rare finding in the neonate. It is commonly caused by S. aureus but other bacterial isolates may be emerging. Effective treatment includes prompt diagnosis, parenteral antibiotics and supportive measures such as rehydration and bimanual gland massage. Case Report: This case report describes an extremely premature female infant with a complicated post-natal course who presented with unilateral swelling of the parotid region. Diagnostic workup revealed purulent exudate from Stensen’s duct and ultrasound findings consistent with parotitis. Culture of the exudate showed growth of Staphylococcus aureus and Enterococcus species. The patient responded well to a ten-day antibiotic course and supportive measures. Conclusions: ASP, though rare, should be considered in the differential diagnosis of a neonatal parotid swelling since early and prompt diagnosis prevents morbidity and complications.
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Affiliation(s)
- Jill N D'Souza
- Department of Otolaryngology, University of Texas Medical Branch, Galveston, TX, U.S.A
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Makhoul J, Lorrot M, Teissier N, Delacroix G, Doit C, Bingen E, Faye A. [Acute bacterial parotitis in infants under 3 months of age: a retrospective study in a pediatric tertiary care center]. Arch Pediatr 2011; 18:1284-9. [PMID: 22000273 DOI: 10.1016/j.arcped.2011.08.032] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2011] [Revised: 06/28/2011] [Accepted: 08/31/2011] [Indexed: 11/29/2022]
Abstract
BACKGROUND Acute bacterial parotitis is a rare infectious disease in infants under 3 months of age. OBJECTIVES To describe the clinical characteristics and the course of acute bacterial parotitis in infants less than 3 months old. PATIENTS AND METHODS Infants under 3 months of age, hospitalized at Robert Debré university hospital, Paris, France, between January 2005 and December 2009 for acute bacterial parotitis, were included in a retrospective study. RESULTS Five infants less than 3 months of age were included in this study, for a frequency of 2.5/1000 hospitalizations in this age group. All were born at term, 4 of 5 were male. Three of the 5 patients had specific clinical signs of parotitis on admission. One patient had septic shock on admission. The ultrasound confirmed the parotitis in all cases. No parotid abscess was demonstrated on imaging. All patients had at least one abnormal inflammatory biological test (WBC, CRP, PCT). Bacteria were identified in 4 of 5 cases: Staphylococcus aureus was isolated in the pus culture of the Stenon duct in 2 patients and a group B Streptococcus was isolated from blood culture of 2 other patients. The duration of intravenous antibiotic therapy varied from 4 to 13 days, and the total duration of antibiotic therapy was between 10 and 16 days. No surgical procedures were needed. CONCLUSION Acute bacterial parotitis in infants under 3 months of age might be associated with localized infections due to S. aureus, but also with a more severe clinical presentation due to group B streptococcus infection. Early diagnosis and appropriate antibiotic therapy might prevent the progression to serious complications.
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Affiliation(s)
- J Makhoul
- Service pédiatrie générale, pôle de pédiatrie aiguë et médecine interne, hôpital Robert Debré, Paris, France
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Özdemir H, Karbuz A, Ciftçi E, Fitöz S, Ince E, Doğru U. Acute neonatal suppurative parotitis: a case report and review of the literature. Int J Infect Dis 2011; 15:e500-2. [PMID: 21621441 DOI: 10.1016/j.ijid.2011.04.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2011] [Revised: 04/08/2011] [Accepted: 04/12/2011] [Indexed: 11/18/2022] Open
Affiliation(s)
- Halil Özdemir
- Department of Pediatric Infectious Diseases, Ankara University Medical School, Dikimevi, Ankara, Turkey.
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HealthCare–Associated Infections in the Nursery. INFECTIOUS DISEASES OF THE FETUS AND NEWBORN 2011:1126-1143. [PMCID: PMC7152384 DOI: 10.1016/b978-1-4160-6400-8.00035-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/29/2023]
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Herrera Guerra AA, Osguthorpe RJ. Acute neonatal parotitis caused by streptococcus pyogenes: a case report. Clin Pediatr (Phila) 2010; 49:499-501. [PMID: 20164068 DOI: 10.1177/0009922809360928] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Angel Alberto Herrera Guerra
- Department of Pediatrics, Division of Pediatric Infectious Disease of the University of Utah, Salt Lake City, UT 84158, USA.
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Abstract
A 3-day-old boy was admitted for right preauricular swelling. Examination showed a toxic looking neonate with poor neonatal reflexes. There was erythema and swelling of 4 × 3 cm at the level of the right cheek. Laboratory investigation pointed to a bacterial infection. With parenteral antibiotics, the lesion resolved completely.
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Khan SU, O'Sullivan PG, McKiernan J. Acute Suppurative Neonatal Parotitis: Case Report. EAR, NOSE & THROAT JOURNAL 2010. [DOI: 10.1177/014556131008900213] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Neonatal suppurative parotitis is very rare. One review of the English-language literature spanning 35 years found only 32 cases. Most cases are managed conservatively with antibiotic therapy; early antibiotic treatment reduces the need for surgery. The predominant organism is Staphylococcus aureus. We report a new case of neonatal suppurative parotitis in a 3-week-old boy. The patient was diagnosed on the basis of parotid swelling, a purulent exudate from a Stensen duct, and the growth of pathogenic bacteria in culture. He responded well to 9 days of intravenous antibiotic therapy. We also discuss the microbiologic and clinical patterns of this disease.
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Affiliation(s)
- Sardar U. Khan
- Department of Otorhinolaryngology–Head and Neck
Surgery, South Infirmary–Victoria University Hospital, Cork, Ireland
| | - Peter G. O'Sullivan
- Department of Otorhinolaryngology–Head and Neck
Surgery, South Infirmary–Victoria University Hospital, Cork, Ireland
| | - John McKiernan
- Department of Paediatrics and Child Health, University
College Cork
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Walter C, Noguera A, Gene A, Jimenez R, Fortuny C. Group B streptococcal late-onset disease presenting with parotitis. J Paediatr Child Health 2009; 45:764-6. [PMID: 20416001 DOI: 10.1111/j.1440-1754.2009.01633.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Nso Roca AP, Baquero-Artigao F, García-Miguel MJ, del Castillo Martín F. Parotiditis aguda neonatal por Streptococcus agalactiae. An Pediatr (Barc) 2007; 67:65-7. [PMID: 17663909 DOI: 10.1157/13108082] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
We report two cases of group B streptococcal acute neonatal parotitis. Both patients showed late-onset infections in association with acute parotid swelling, without cellulitis or purulent drainage from Stensen's duct. Neither of the infants had meningitis, and Streptococcus agalactiae was isolated from blood cultures. Differential diagnosis with cellulitis-adenitis syndrome was based on clinical manifestations with supporting radiographic findings, which revealed parotid swelling with increased vascularization. Both infants were treated with a 2-week-course of intravenous cefotaxime, with complete recovery. Although the most common cause of acute neonatal bacterial parotitis is Staphylococcus aureus, Streptococcus agalactiae should be included in the differential diagnosis, especially in infants with late-onset sepsis.
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Affiliation(s)
- A P Nso Roca
- Servicio de Infecciosas, Hospital Materno-Infantil La Paz, Madrid, España.
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Srivastava S, Shetty N. Healthcare-associated infections in neonatal units: lessons from contrasting worlds. J Hosp Infect 2007; 65:292-306. [PMID: 17350726 PMCID: PMC7172768 DOI: 10.1016/j.jhin.2007.01.014] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2006] [Accepted: 01/18/2007] [Indexed: 11/20/2022]
Abstract
Neonatal intensive care units are vulnerable to outbreaks and sporadic incidents of healthcare-associated infections (HAIs). The incidence and outcome of these infections are determined by the degree of immaturity of the neonatal immune system, invasive procedures involved, the aetiological agent and its antimicrobial susceptibility pattern and, above all, infection control policies practised by the unit. It is important to raise awareness of infection control practices in resource-limited settings, since overdependence upon antimicrobial agents and co-existing lack of awareness of infection control is encouraging the emergence of multi-drug-resistant nosocomial pathogens. We reviewed 125 articles regarding HAIs from both advanced and resource-limited neonatal units in order to study risk factors, aetiological agents, antimicrobial susceptibility patterns and reported successes in infection control interventions. The articles include surveillance studies, outbreaks and sporadic incidents. Gram-positive cocci, viruses and fungi predominate in reports from the advanced units, while Gram-negative enteric rods, non-fermenters and fungi are commonly reported from resource-limited settings. Antimicrobial susceptibility patterns from surveillance studies determined the empirical therapy used in each neonatal unit. Most outbreaks, irrespective of the technical facilities available, were traced to specific lack of infection control practices. We discuss infection control interventions, with special emphasis on their applicability in resource-limited settings. Cost-effective measures for implementing these interventions, with particular reference to the recognition of the role of the microbiologist, the infection control team and antibiotic policies are presented.
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Affiliation(s)
- S Srivastava
- Department of Clinical Microbiology, Health Protection Agency Collaborating Centre, University College London Hospitals, London, UK
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Todoroki Y, Tsukahara H, Kawatani M, Ohshima Y, Shukunami KI, Kotsuji F, Mayumi M. Neonatal suppurative parotitis possibly associated with congenital cytomegalovirus infection and maternal methyldopa administration. Pediatr Int 2006; 48:185-6. [PMID: 16635183 DOI: 10.1111/j.1442-200x.2006.02188.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Yukiko Todoroki
- Department of Pediatrics, Faculty of Medical Sciences, Univeristy of Fukui, Japan
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Infections Acquired in the Nursery: Epidemiology and Control. INFECTIOUS DISEASES OF THE FETUS AND NEWBORN INFANT 2006:1179-1205. [PMCID: PMC7150280 DOI: 10.1016/b0-72-160537-0/50037-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
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Ayala Curiel J, Galán del Río P, Poza del Val C, Aguirre Conde A, Cotero Lavín A. [Neonatal acute suppurative parotitis]. An Pediatr (Barc) 2004; 60:274-7. [PMID: 14987521 DOI: 10.1016/s1695-4033(04)78264-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Acute suppurative parotitis is highly uncommon in neonates. Approximately 100 cases have been reported in the literature. Dehydration and prematurity are important predisposing factors. Diagnosis is based on clinical signs. White blood cell count and parotid ultrasonography are useful. The most commonly isolated causative organism is Staphylococcus aureus. Initial treatment consists of antistaphylococcal empiric antimicrobial therapy for 7-10 days. The prognosis is good. The illness is not usually associated with recurrences. We describe two 12-day-old newborn infants who presented with fever, unilateral swelling of the parotid region with erythema, warmness and pain, and purulent discharge from Stensen's duct. We also provide a literature review.
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Affiliation(s)
- J Ayala Curiel
- Servicio de Pediatría, Unidad de Neonatología, Hospital de Basurto, Bilbao, Vizcaya, España.
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Abstract
We describe two cases of neonatal suppurative parotitis caused by Staphylococcus aureus. Only 32 cases of neonatal suppurative parotitis (72% male) have been described in the English literature in the last 35 years. Thirty-eight percent were premature babies, only 41% were febrile and the causative agent in most cases was S. aureus. Recovery was achieved in 78% of the patients with antibiotic therapy without drainage.
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Affiliation(s)
- Ronen Spiegel
- Pediatric Departments A Ha'Emek medical Center, Afula, Israel
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Affiliation(s)
- Joel Schwab
- The University of Chicago Pritzker School of Medicine and the University of Chicago Children's Hospital, IL 60637, USA
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Affiliation(s)
- Tirbod T Fattahi
- Division of Oral and Maxillofacial Surgery, University of Kentucky, Lexington, KY 40536-0297, USA
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Abstract
Staphylococci are the usual bacterial etiology of suppurative parotitis in newborns. This report describes for the first time recovery of anaerobic bacteria from aspirates of the infected gland in two infants with suppurative parotitis. Peptostreptococcus intermedius and Prevotella melaninogenica were isolated from one child and Prevotella intermedia from the other patient. Complete recovery occurred after 4 weeks of antimicrobial therapy.
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Affiliation(s)
- Itzhak Brook
- Department of Pediatrics, Georgetown University School of Medicine, Washington, DC, USA.
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