D'Souza Jill N, Geary Cara, Mukerji Shraddha
Department of Otolaryngology, University of Texas Medical Branch, Galveston, TX, U.S.A.
Am J Case Rep. 2012;13:41-3. doi: 10.12659/AJCR.882598. Epub 2012 Mar 19.
Acute suppurative parotitis (ASP) is a rare finding in the neonate. It is commonly caused by S. aureus but other bacterial isolates may be emerging. Effective treatment includes prompt diagnosis, parenteral antibiotics and supportive measures such as rehydration and bimanual gland massage.
This case report describes an extremely premature female infant with a complicated post-natal course who presented with unilateral swelling of the parotid region. Diagnostic workup revealed purulent exudate from Stensen's duct and ultrasound findings consistent with parotitis. Culture of the exudate showed growth of Staphylococcus aureus and Enterococcus species. The patient responded well to a ten-day antibiotic course and supportive measures.
ASP, though rare, should be considered in the differential diagnosis of a neonatal parotid swelling since early and prompt diagnosis prevents morbidity and complications.
急性化脓性腮腺炎（ASP）在新生儿中较为罕见。它通常由金黄色葡萄球菌引起，但其他细菌分离株可能也在出现。有效的治疗包括及时诊断、胃肠外使用抗生素以及支持措施，如补液和双手按摩腮腺。
本病例报告描述了一名患有复杂产后病程的极低体重女婴，其出现腮腺区单侧肿胀。诊断检查发现从腮腺导管流出脓性渗出物，超声检查结果与腮腺炎相符。渗出物培养显示有金黄色葡萄球菌和肠球菌生长。该患者对为期十天的抗生素疗程和支持措施反应良好。
尽管ASP罕见，但在新生儿腮腺肿胀的鉴别诊断中应予以考虑，因为早期及时诊断可预防发病和并发症。
