[Neonatal acute suppurative parotitis].
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.
Servicio de Pediatría, Unidad de Neonatología, Hospital de Basurto, Bilbao, Vizcaya, España. javierac@euskalnet.net
J
J
Ayala Curiel
P
P
Galán del Río
C
C
Poza del Val
A
A
Aguirre Conde
A
A
Cotero Lavín
D000208:Acute Disease; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010309:Parotitis / Q000175:diagnosis*; D013492:Suppuration