title: [Bilateral parotitis in a patient under continuous positive airway pressure treatment].
abstract: OBJECTIVE
  Many conditions such as bacterial and viral infectious diseases, mechanical obstruction due to air and calculi and drugs can cause parotitis. We present a case of unusual bilateral parotitis in a patient under non-invasive continuous positive airway pressure (CPAP) therapy for chronic obstructive pulmonary disease exacerbation in intensive care unit.
  
  
  METHODS
  A 36-year-old patient was admitted to intensive care unit with the diagnosis of chronic obstructive pulmonary disease exacerbation. Antibiotherapy, bronchodilator therapy and non-invasive positive pressure ventilation were applied as treatment regimen. Painless swellings developed on the 3rd day of admission on the right and a day after this on the left parotid glands. Amylase levels were increased and ultrasonographic evaluation revealed bilateral parotitis. No intervention was made and the therapy was continued. The patient was discharged on the 6th day with clinical improvement and regression of parotid swellings without any complications.
  
  
  CONCLUSIONS
  Parotitis may have occurred after retrograde air flow in the Stensen duct during CPAP application. After the exclusion of possible viral and bacteriological etiologies and possible drug reactions we can focus on this diagnosis.
authors.affiliation: Adiyaman University Research Hospital, Department of Anesthesiology and Reanimation, Adiyaman, Turquia. Electronic address: ruslan_jnr@hotmail.com.
authors.forename: Ruslan
authors.initials: R
authors.lastname: Abdullayev
authors.affiliation: Istanbul University, Istanbul Medical Faculty, Department of Clinical Microbiology, Istambul, Turquia.
authors.forename: Filiz Cosku
authors.initials: FC
authors.lastname: Saral
authors.affiliation: Adiyaman University Research Hospital, Department of Anesthesiology and Reanimation, Adiyaman, Turquia.
authors.forename: Omer Burak
authors.initials: OB
authors.lastname: Kucukebe
authors.affiliation: Adiyaman University Research Hospital, Department of Infectious Diseases and Bacteriology, Adiyaman, Turquia.
authors.forename: Hakan Sezgin
authors.initials: HS
authors.lastname: Sayiner
authors.affiliation: Adiyaman University Research Hospital, Department of Otorhinolaryngology, Adiyaman, Turquia.
authors.forename: Cem
authors.initials: C
authors.lastname: Bayraktar
authors.affiliation: Adiyaman University Research Hospital, Department of Clinical Microbiology, Adiyaman, Turquia.
authors.forename: Sadik
authors.initials: S
authors.lastname: Akgun
keywords: Bilateral parotitis; Continuous positive airway pressure; Parotidite; Parotidite bilateral; Parotitis; Pneumoparotidite; Pneumoparotitis; Pressão positiva contínua das vias aéreas