Patel Puja, Scott Shannon, Cunningham Sean
J Am Osteopath Assoc. 2017 Dec 1;117(12):e137-e140. doi: 10.7556/jaoa.2017.152.
The diagnosis and management of parotitis can be challenging. Patients often present with pain and edema in the neck, jaw, head, and ear due to congestion of the gland. Parotitis is typically caused by an infection within the parotid gland and surrounding lymph nodes, and the infection can spread to nearby cervical fascial planes and cause major complications if not managed successfully. Specific guidelines for the outpatient management of parotitis are limited, and outpatient treatment failures are common, requiring inpatient therapy with multiple broad-spectrum antibiotics. In the current case, a comprehensive patient-centered approach was used to treat a woman whose overlapping clinical conditions, lifestyle, and work factors led to an infection of the parotid gland.
腮腺炎的诊断和管理颇具挑战性。由于腮腺充血，患者常出现颈部、颌部、头部和耳部的疼痛及水肿。腮腺炎通常由腮腺及周围淋巴结感染引起，如果治疗不当，感染可蔓延至附近的颈部筋膜平面并引发严重并发症。针对腮腺炎门诊管理的具体指南有限，门诊治疗失败很常见，需要住院使用多种广谱抗生素治疗。在当前病例中，采用了以患者为中心的综合方法来治疗一名女性患者，其重叠的临床状况、生活方式和工作因素导致了腮腺感染。
