title: Concomitant Suppurative Parotitis and Condylar Osteomyelitis.
abstract: Parotitis is a common occurrence in the immunocompromised, dehydrated, and malnourished patient as a result of dysfunctional ductal and parotid cells. Inflammation can be acute or chronic based on clinical history, and it can be suppurative based on the presence of micro or macro abscess formation within the substance of the gland. This report presents a case of concomitant condylar osteomyelitis and chronic suppurative parotitis in the setting of previous methicillin-susceptible Staphylococcus aureus foot infection. Ultimately, resection of osteomyelitis, drainage of parotid infection, and intravenous antibiotic therapy led to full resolution of the infection and symptoms. The final pathology of osteomyelitis of the temporomandibular joint and methicillin-resistant S aureus infection is an unusual consequence of chronic parotitis. The patient was restored with a total joint replacement approximately 3 months after resection with no recurrence of infection after 24 months.
authors.affiliation: Former Program Director, Department of Oral and Maxillofacial Surgery, Christiana Care Health System, Wilmington, DE; Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Rochester, Eastman Institute of Oral Health, Strong Memorial Hospital, Rochester, NY. Electronic address: John_Vorrasi@urmc.rochester.edu.
authors.forename: John
authors.initials: J
authors.lastname: Vorrasi
authors.affiliation: Former Chief Resident, Department of Oral and Maxillofacial Surgery, Christiana Care Health System, Wilmington, DE.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Zinberg
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008335:Mandibular Condyle; D008336:Mandibular Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D056948:Orthognathic Surgical Procedures; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology; D010309:Parotitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D011862:Radiography, Panoramic; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents