title: Monolateral suppurative parotitis in a neonate and review of literature.
abstract: OBJECTIVE
  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.
authors.affiliation: Neonatology and Neonatal Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. lidiadec@alice.it
authors.forename: Lidia
authors.initials: L
authors.lastname: Decembrino
authors.forename: Giulia
authors.initials: G
authors.lastname: Ruffinazzi
authors.forename: Fabio
authors.initials: F
authors.lastname: Russo
authors.forename: Paolo
authors.initials: P
authors.lastname: Manzoni
authors.forename: Mauro
authors.initials: M
authors.lastname: Stronati
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010309:Parotitis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy*; D013211:Staphylococcus aureus; D013492:Suppuration; D014463:Ultrasonography; D014640:Vancomycin / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin