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一例以单侧颌下腺炎和喉水肿表现的腮腺炎病例。

A Case of Mumps Presenting With Unilateral Submandibular Sialadenitis and Laryngeal Edema.

作者信息

Ogawa Go, Kagoya Ryoji, Mochiki Masato, Ito Ken

机构信息

Otolaryngology, Teikyo University, Tokyo, JPN.

Otorhinolaryngology-Head and Neck Surgery, The University of Tokyo, Tokyo, JPN.

出版信息

Cureus. 2022 Sep 18;14(9):e29290. doi: 10.7759/cureus.29290. eCollection 2022 Sep.

Abstract

Mumps is a viral infection that primarily affects the parotid glands. Here, we report an atypical case of mumps presenting with unilateral submandibular sialadenitis and laryngeal edema. A 20-year-old woman with unremarkable medical history was referred to our hospital for the management of left submandibular sialadenitis. Laryngeal endoscopy revealed laryngeal edema. Contrast-enhanced computed tomography of the neck revealed swelling of the left submandibular gland with surrounding fluid density and increased density of the cervical subcutaneous adipose tissue. A few days later, both anti-mumps immunoglobulin M (IgM) and IgG antibodies were positive, and she was diagnosed with mumps. To date, there have been no reports of unilateral submandibular gland mumps complicated by laryngeal edema. It is important to keep in mind that the involvement of the submandibular gland in cases of mumps is probably a risk factor for laryngeal edema.

摘要

腮腺炎是一种主要影响腮腺的病毒感染。在此,我们报告一例非典型腮腺炎病例,表现为单侧颌下腺涎腺炎和喉水肿。一名既往病史无异常的20岁女性因左侧颌下腺涎腺炎被转诊至我院。喉镜检查显示喉水肿。颈部增强计算机断层扫描显示左侧颌下腺肿胀,周围有液体密度影,颈部皮下脂肪组织密度增加。几天后,抗腮腺炎免疫球蛋白M(IgM)和IgG抗体均呈阳性,她被诊断为腮腺炎。迄今为止,尚无单侧颌下腺腮腺炎并发喉水肿的报道。需要牢记的是,腮腺炎病例中颌下腺受累可能是喉水肿的一个危险因素。

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