[Acute neonatal suppurative parotiditis: about three clinical cases and review of the literature].
The following case study reports three cases of neonatal bacterial parotiditis observed over a period of seven months. Diagnosis is often based on patient's clinical features: they typically include hyperthermia, swelling, erythema, warmth as well as local tenderness and purulent discharge at Stensen duct during the massage of the parotid. The clinical diagnosis is confirmed by ultrasound and by culture of parotid purulent secretion. They are mainly of nosocomial origin and are generally caused by prematurity and dehydration. Early treatment improves patient outcome. Risk factors such as age should lead clinicians to start empiric antibiotic therapy first and then antibiotic therapy based on direct examination of pus extracted from Stensen duct. Staphylococcus aureus, Streptococcus Viridans and anaerobic germs are most commonly isolated. Acute parotiditis are extremely rare in the neonatal period: less than 50 cases have been reported in the literature. We here report three rather peculiar cases. The diagnosis was suspected on the basis of signs of local inflammation.
Centre de Référence de Médecine et de Réanimation Néonatale de l'Hôpital d'Enfants de Rabat, Centre Hospitalier Universitaire Ibn Sina, Avenue Ibn Rochd, Agdal, Rabat, Maroc.
Zineb
Z
Isfaoun
Centre de Référence de Médecine et de Réanimation Néonatale de l'Hôpital d'Enfants de Rabat, Centre Hospitalier Universitaire Ibn Sina, Avenue Ibn Rochd, Agdal, Rabat, Maroc.
Mohammed Amine
MA
Radouani
Centre de Référence de Médecine et de Réanimation Néonatale de l'Hôpital d'Enfants de Rabat, Centre Hospitalier Universitaire Ibn Sina, Avenue Ibn Rochd, Agdal, Rabat, Maroc.
Sihame
S
Azzaoui
Centre de Référence de Médecine et de Réanimation Néonatale de l'Hôpital d'Enfants de Rabat, Centre Hospitalier Universitaire Ibn Sina, Avenue Ibn Rochd, Agdal, Rabat, Maroc.
Houria
H
Knouni
Unité Mixte de Recherche en Nutrition et Alimentation URAC 39, Université Ibn Tofail-CNESTEN, RDC-Nutrition AFRA/AIEA, Maroc.
Hassan
H
Aguenaou
Centre de Référence de Médecine et de Réanimation Néonatale de l'Hôpital d'Enfants de Rabat, Centre Hospitalier Universitaire Ibn Sina, Avenue Ibn Rochd, Agdal, Rabat, Maroc; Equipe de Recherche en Santé et Nutrition du Couple Mère-Enfant, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Maroc.
Amina
A
Barkat
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D007249:Inflammation / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D010309:Parotitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012307:Risk Factors; D013492:Suppuration / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents
Acute suppurative parotiditis; newborn; treatment