Wells D H
Am J Dis Child. 1975 May;129(5):628-30. doi: 10.1001/archpedi.1975.02120420064020.
Suppurative sialadenitis is rare in the neonate and usually involves the parotid glands. Two cases are reported of suppuration of the submandibular gland in the newborn. Diagnosis was made by clinical signs of infection, appearance of a unilateral, erythematous submandibular mass, and expression of pus from the orifice of Wharton duct under the tip of the tongue. Gram stain, culture, and antibiotic sensitivity studies were done on the purulent material. Staphylococcus aureus grew in both cases and was sensitive to treatment with methicillin sodium. This report discusses the management of these cases, with speculation about the possible cause. To my knowledge, these are the only two cases found in the literature of suppurative submandibular sialadenitis occuring as an isolated lesion in the neonatal period.
化脓性涎腺炎在新生儿中罕见，通常累及腮腺。本文报告两例新生儿下颌下腺化脓病例。根据感染的临床体征、单侧红肿的下颌下肿块表现以及从舌尖下沃顿管开口处挤出脓液做出诊断。对脓性物质进行了革兰氏染色、培养及抗生素敏感性研究。两例均培养出金黄色葡萄球菌，对甲氧西林钠治疗敏感。本报告讨论了这些病例的处理，并推测了可能的病因。据我所知，这是文献中仅有的两例新生儿期孤立发生的化脓性下颌下涎腺炎病例。
