Khan Sardar U, O'Sullivan Peter G, McKiernan John
Department of Otorhinolaryngology-Head and Neck Surgery, South Infirmary-Victoria University Hospital, Cork, Ireland.
Ear Nose Throat J. 2010 Feb;89(2):90-1.
Neonatal suppurative parotitis is very rare. One review of the English-language literature spanning 35 years found only 32 cases. Most cases are managed conservatively with antibiotic therapy; early antibiotic treatment reduces the need for surgery. The predominant organism is Staphylococcus aureus. We report a new case of neonatal suppurative parotitis in a 3-week-old boy. The patient was diagnosed on the basis of parotid swelling, a purulent exudate from a Stensen duct, and the growth of pathogenic bacteria in culture. He responded well to 9 days of intravenous antibiotic therapy. We also discuss the microbiologic and clinical patterns of this disease.
新生儿化脓性腮腺炎非常罕见。一项对35年英文文献的综述仅发现32例病例。大多数病例采用抗生素治疗进行保守处理；早期抗生素治疗可减少手术需求。主要病原体是金黄色葡萄球菌。我们报告一例3周大男婴患新生儿化脓性腮腺炎的新病例。该患者根据腮腺肿胀、斯滕森导管脓性渗出物以及培养物中病原菌生长而确诊。他对9天的静脉抗生素治疗反应良好。我们还讨论了这种疾病的微生物学和临床模式。
