Acute suppurative parotitis caused by Streptococcus pneumoniae in an HIV-infected man.
We report a case of a 32-year-old man who presented with progressive unilateral parotid gland enlargement and subsequently tested positive for HIV. A CT scan of the neck performed with contrast showed a phlegmon in the region of the right parotid tail measuring approximately 2.5×2.4 cm. Cultures of the aspirated fluid grew Streptococcus pneumoniae and the S. pneumoniae urinary antigen test was also positive. The patient underwent surgical debridement and received antimicrobial therapy with complete resolution of the parotitis. Parotitis caused by S. pneumoniae is rare, and HIV infection should be suspected in any case of invasive pneumococcal disease.
Department of Infectious Diseases, University of Nebraska Medical center, Omaha, Nebraska, USA.
Luis
L
Guzman Vinasco
Department of Infectious Diseases, University of Nebraska Medical center, Omaha, Nebraska, USA.
Sara
S
Bares
Department of Infectious Diseases, University of Nebraska Medical center, Omaha, Nebraska, USA.
Uriel
U
Sandkovsky
D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D003287:Contrast Media; D004318:Doxycycline / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D010306:Parotid Gland / Q000000981:diagnostic imaging / Q000382:microbiology; D010309:Parotitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011008:Pneumococcal Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011856:Radiographic Image Enhancement; D013296:Streptococcus pneumoniae; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D003287:Contrast Media; D017291:Clarithromycin; D004318:Doxycycline