Clinical and microbiological analysis of six children with acute suppurative parotitis

C. H. Chiu, T. Y. Lin

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Six children including two neonates with acute suppurative parotitis are described. They presented typical symptoms and signs of fever (4/6) and swelling (6/6), tenderness (6/6), erythema (4/6) and local warmness (4/6) of the parotid gland affected. Leucocytosis and an elevated erythrocyte sedimentation rate and serum amylase level may be seen. The presence of purulent discharge from the Stensen duct when the parotid gland is externally compressed is pathognomonic of the disease, and the microbiological diagnosis can be made by culture of the pus. Microbiologically, this series highlights the polymicrobic nature and importance of Streptococcus viridans in paediatric suppurative parotitis, indicating, therefore, that the causative bacteria entered the gland from the oral cavity. Our data also suggest that initial antibiotic therapy for such patients should provide adequate coverage for streptococci and staphylococci as well as for anaerobic bacteria.

Original languageEnglish
Pages (from-to)106-108
Number of pages3
JournalActa Paediatrica, International Journal of Paediatrics
Volume85
Issue number1
Publication statusPublished - 1996
Externally publishedYes

Fingerprint

Parotitis
Parotid Gland
Salivary Ducts
Viridans Streptococci
Suppuration
Anaerobic Bacteria
Blood Sedimentation
Leukocytosis
Erythema
Amylases
Streptococcus
Staphylococcus
Signs and Symptoms
Mouth
Fever
Newborn Infant
Pediatrics
Anti-Bacterial Agents
Bacteria
Serum

Keywords

  • Acute suppurative parotitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Clinical and microbiological analysis of six children with acute suppurative parotitis. / Chiu, C. H.; Lin, T. Y.

In: Acta Paediatrica, International Journal of Paediatrics, Vol. 85, No. 1, 1996, p. 106-108.

Research output: Contribution to journalArticle

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