Shaughnessy N, McGrath T, Moore M, Walsh B H
Department of Neonatology, Cork University Maternity Hospital, Wilton, Cork, Co. Cork, Ireland
Department of Radiology, Cork University Hospital, Co. Cork, Ireland
Ir Med J. 2019 Jun 17;112(6):955.
Aims We report a case of bilateral neonatal suppurative sialadenitis (NSS) in an extremely low birth weight infant (ELBW). Methods The infant developed bilateral sub-mandibular swelling at 3 weeks of age. NSS with abscess was confirmed with ultrasound. Despite intravenous antibiotic therapy the masses increased in size and developed abscesses. Results Unilaterally the abscess discharged via Wharton’s duct necessitating intubation to protect the airway. The abscess remnant was incised and drained. Culture grew a methicillin sensitive staphyloccocus aureus. The NSS resolved following two weeks of antibiotics. Conclusion We wish to highlight the importance of early recognition of this rare condition in preterm neonates.
