BILATERAL SUPPURATIVE PAROTITIS IN A NEW NEWBORN
Keywords:Parotitis, newborn, Staphylococcus aureus
Neonatal suppurative parotitis is a rare condition. Early diagnosis is essential to improve prognosis in these cases.
We describe a ten-day-old preterm breastfed girl who developed bilateral suppurative parotitis. She was admitted to the hospital with general malaise, weight loss and bilateral preauricular swelling. Purulent drainage from both Sténon ducts into the mouth confirmed the diagnosis. Staphylococcus aureus was isolated from the purulent exudate and blood. Furthermore, Staphylococcus aureus was also found at the breast milk and, consequently, the mother was considered to be the source of the infection. Empiric antibiotic therapy was started with intravenous ampicilin and gentamicin. It was later changed to flucloxacilin, according to the antibiotic resistance profile. There were no complications or recurrences.
Although rare, neonatal suppurative parotitis should be suspected in newborns presenting with parotid swelling, in order to provide early treatment and prevent complications.
Aguiar T, Dias A, Ferreira GC, Machado MC. Parotidite Bacteriana Neonatal. Acta Pediatr Port 2003; 34: 17-20.
Sabatino G, Verotti A, Martino M, Fuslili P, Pallotta R, Chiarelli F. Neonatal suppurative parotitis: a study of five cases. Eur J Pediatr 1999; 158: 312-4.
Ismail EA, Seoudi TM, Al-Amir M, Al-Esnawy AA. Neonatal suppurative parotitis over the last 4 decades: Report of three new cases and review. Pediatr Int 2013; 55: 60-4.
Oliveira MJ, Guedes M, Costa FM, Almeida R. Parotidite neonatal a Streptococcus do grupo B. Nascer e Crescer 2007; 16: 233-4.
Fortunato F, Carvalheiro I, Novais C, Carreira R, Brito N. Facial Swelling in newborn. Einstein 2014; 12: 384-5.
Guerreiro A, Loureiro M, Nunes F, Pinto MM, Azeredo P. Parotidite Bacteriana: Uma Entidade a Considerar no Período Neonatal. Acta Pediatr Port 2015; 46: 265-9.
Akgun C, Peker E, Arkbayram S, Dogan M, Tuncer O, Kirimi E. A 3-day-old boy with a right preauricular swelling. Eur J Pediatr 2010; 169: 637-8.
Ozdemir H, Karbuz A, Çiftçi E, Fitoz S, Ínce E, Dogru U. Acute neonatal suppurative parotitis: a case report and review of the literature. Int J Infect Dis 2011; 15: e500-502. doi: 10.1016/j.ijid.2011.04.002.
Decembrino L, Ruffinazzi G, Russo F, Manzoni P, Stronati M. Monolateral suppurative parotitis in a neonate and review of literature. Int J Pediatr Otorhinolaryngol 2012; 76: 930-3.
Curiel JA, Galán del Río P, Poza del Val C, Conde AA, Lavin C. Parotiditis aguda supurativa neonatal. An Pediatr (Barc) 2004; 60: 274-7.
D’ Souza JN, Geary C, Mukerjy J. Neonatal parotid gland enlargement: Is it suppurative parotitis? A case report. Am J Case Rep 2012; 13: 41-3.
Sekhon P, Willliams D, Singh Sara JD, McCulloch NA. Acute bacterial suppurative partotitis of the neonate: A case report and review. Int J Pediatr Otorhinolaryngol Extra 2012; 7: 132-3.
How to Cite
Copyright and access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.