Parotitis acute in infancy

*Małgorzata Dębska

Summary
Summary
Parotitis in infants is a rare illness. The most characteristic symptoms include swelling of he parotid glands, erythema, pain, fever and poor suckling. The differential diagnosis has to rule out such diseases as inflammation of the cervical lymph nodes, erysipelas, inflammatory angioma and others. The observation was carried out on four children aged 2 weeks to 10 months. In each case the symptoms were similar, general symptoms include: fever, loss of appetite and topical: swelling of the parotid gland, hyperaemia and skin redness. In the bacteriological examination of purulent secretion from the parotid gland Staphylococcus aureus, Escherichia coli and Streptococcus pneumoniae in two cases were found. In one case of Streptococcus pneumoniae aetiology a sepsis was stated. The diagnosis was easy to make and was based on clinical symptoms and ultrasound image. Intravenous antibiotics treatment due to bacteriological culture was used and continued for ten to fourteen days with good effect. In no case the abcess of the parotid gland was observed. There are no indications for sialography in acute parotitis and also it is difficult to perform this kind of examination in infants.

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