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Brazilian Journal of Otorhinolaryngology 2005Recurrent parotitis (RP) is defined as recurrent parotid inflammation, generally associated with non-obstructive sialectasis of the parotid gland. It is a rare... (Review)
Review
UNLABELLED
Recurrent parotitis (RP) is defined as recurrent parotid inflammation, generally associated with non-obstructive sialectasis of the parotid gland. It is a rare condition, and its etiology remains an enigma.
AIM
The purposes of the present study were (1) to relate the follow up of five RP cases; (2) to examine the role of sialography and ultrasound in diagnosis and follow up; and (3) to make a literature review.
STUDY DESIGN
Series review.
MATERIAL AND METHOD
We reviewed all recurrent parotitis cases from the files of the Otolaryngology Division at University of Sao Paulo, Brazil. The criteria for inclusion were at least two years of evolution and more than one year and a half follow-up in our service. We included five children in the study. Sialography was performed in the first evaluation and sonography was executed annually. Recurrent parotitis showed male predominance, and affected mainly children between the ages of 3 and 6. Frequency of crisis improved with time in all cases. Sialography showed sialectasis aspect in the affected glands and sonographic exams demonstrated hypoechoic and heterogeneous internal echoes. One case showed regression of ultrasound changes after clinical improvement.
Topics: Adolescent; Age Factors; Child; Humans; Male; Parotitis; Recurrence; Sex Factors; Sialography; Ultrasonography
PubMed: 16612516
DOI: 10.1016/s1808-8694(15)31259-3 -
Revista Chilena de Infectologia :... Aug 2019Parotitis is an acute viral disease characterized by swelling and pain in one or both salivary glands, submaxillary or submental, fever, headache, muscle ache and/or...
BACKGROUND
Parotitis is an acute viral disease characterized by swelling and pain in one or both salivary glands, submaxillary or submental, fever, headache, muscle ache and/or fatigue.
AIM
To investigate the occurrence of influenza virus infection in parotitis cases in a population of Santa Fe during 2017 and analyze clinical and epidemiological characteristics of the cases.
METHODS
We studied patients with diagnosis of mumps without age restriction, who came for examination from week 26 to the network of clinicians forming the Sentinel Influenza Unit in Santa Fe.
RESULTS
Between epidemiological weeks 26 and 44, 22 clinical parotitis cases we enrolled. The influenza virus was detected in 68.2%, influenza A (H3N2) 93%, and influenza B, 7%. The clinical signs of cases were mild, with an average swelling development of 5 days and no complications. 74% presented with influenza-like illness in tandem with parotitis.
CONCLUSIONS
This study provides evidence that a proportion of children presenting with parotitis had influenza A(H3N2) virus infection. It is necessary to implement systematic surveillance of parotitis associated with influenza and differential diagnosis even in the absence of respiratory symptoms.
Topics: Adolescent; Adult; Argentina; Child; Child, Preschool; Diagnosis, Differential; Female; Humans; Infant; Influenza, Human; Male; Parotitis; Seasons; Young Adult
PubMed: 31859767
DOI: 10.4067/S0716-10182019000400442 -
California Medicine Mar 1950
Topics: Anaphylaxis; Humans; Hypersensitivity; Immune System Diseases; Parotitis
PubMed: 15405033
DOI: No ID Found -
Transactions of the American... 1971
Topics: Adult; Facial Paralysis; Female; Humans; Male; Ophthalmoscopy; Papilledema; Parotitis; Phlebitis; Retinal Diseases; Sarcoidosis; Uveitis
PubMed: 5154266
DOI: No ID Found -
British Medical Journal Jun 1967
Topics: Adolescent; Child; Child, Preschool; Female; Humans; Infant; Male; Mumps; Mumps virus; Vaccination; Viral Vaccines
PubMed: 6029134
DOI: No ID Found -
British Medical Journal May 1954
Topics: Disease; Face; Humans; Parotitis; Syndrome; Temporomandibular Joint; Temporomandibular Joint Disorders
PubMed: 13160442
DOI: 10.1136/bmj.1.4873.1233 -
La Radiologia Medica May 2024Dysfunction of the masseter muscle may cause pathological kinking of the parotid duct leading to parotitis; MR sialography is a non-invasive radiological examination...
Dysfunction of the masseter muscle may cause pathological kinking of the parotid duct leading to parotitis; MR sialography is a non-invasive radiological examination that allows to evaluate dynamically the ductal system of the parotid glands. In the present study we aimed to assess the relationships between Stensen's duct and masseter muscle and their implications in the aetiopathogenesis of recurrent parotitis secondary to masseter muscle dysfunction. Forty-one patients with recurrent unilateral parotitis and nine with bilateral recurrent parotitis, all with a clinical suspicious of masseter muscle hypertrophy due to bruxism were enrolled. They underwent ultrasonography as a first line examination and then MR sialography and sialendoscopy. Different anatomical features were studied. Involved parotid glands had a wider duct compared to contralateral unaffected parotid glands of patients with recurrent parotitis (p = 0.00134); male subjects with parotitis had a longer duct compared to the salivary glands of healthy patients (p = 0.00943 for affected glands and p = 0.00629 for the contralateral). A concordance between the evidence of an acute duct angle during sialendoscopy and a wider duct in patients with parotitis was observed although not statistically significant. These initial findings suggest that the masticatory muscle dysfunction related to bruxism seems to condition alteration of parotid duct course and anatomy thus favouring the occurrence of recurrent parotitis. A specific diagnostic iter based on clinical evaluation, dynamic ultrasonography and MR sialography, is therefore, mandatory to confirm the relationship between masseter muscle anatomy and parotid duct anomalies; this is the premise for an adequate therapeutic approach to underlying masticatory muscle disorder.
Topics: Humans; Male; Parotitis; Female; Masseter Muscle; Adult; Middle Aged; Magnetic Resonance Imaging; Sialography; Recurrence; Salivary Ducts; Ultrasonography; Aged; Bruxism; Endoscopy
PubMed: 38512620
DOI: 10.1007/s11547-024-01802-1 -
Archives of Disease in Childhood Aug 1992Recurrent parotitis in children is a well described but rare condition of unknown cause. The clinical features of 11 children with recurrent parotitis are described.
Recurrent parotitis in children is a well described but rare condition of unknown cause. The clinical features of 11 children with recurrent parotitis are described.
Topics: Anti-Bacterial Agents; Child; Child, Preschool; Female; Haemophilus influenzae; Humans; Infant; Male; Parotitis; Recurrence; Streptococcus
PubMed: 1303637
DOI: 10.1136/adc.67.8.1036 -
Human Vaccines & Immunotherapeutics Jun 2021Children have elevated fever risk 1 to 2 weeks after the first dose of a measles-containing vaccine (MCV), which is likely affected by genetic, immunologic, and...
Children have elevated fever risk 1 to 2 weeks after the first dose of a measles-containing vaccine (MCV), which is likely affected by genetic, immunologic, and clinical factors. Fever after MCV is associated with febrile seizures, though may also be associated with higher measles antibody titers. This exploratory study investigated genetic and immunologic associations with a fever after MCV. Concurrent with a randomized Phase 3 clinical trial of 12-15-month-olds who received their first measles-mumps-rubella (MMR) vaccine in which parents recorded post-vaccination temperatures daily, we consented a subset to collect additional blood and performed human leukocyte antigens (HLA) typing. Association between fever 5-12 days after MMR ("MMR-associated") and HLA type was assessed using logistic regression. We compared 42-day post-vaccination geometric mean titers (GMT) to measles between children who did and did not have fever using a t-test. We enrolled 86 children and performed HLA typing on 82; 13 (15.1%) had MMR-associated fever. Logistic regressions identified associations between MMR-associated fever and HLA Class I loci A-29:02 ( = .036), B-57:01 ( = .018), C-06:02 ( = .006), C-14:02 ( = .022), and Class II loci DRB1-15 ( = .045). However, Bonferroni's adjustment for multiple comparisons suggests that these associations could have been due to chance. Ninety-eight percent of children had protective antibody titers to measles; however, GMT was higher among those with fever compared with children without fever ( = .006). Fever after the measles vaccine correlated with genetic factors and higher immune response. This study suggests a possible genetic susceptibility to MMR-associated fever.
Topics: Antibodies, Viral; Chickenpox Vaccine; Child; Humans; Infant; Measles; Measles-Mumps-Rubella Vaccine; Mumps; Rubella; Vaccines, Combined
PubMed: 33351701
DOI: 10.1080/21645515.2020.1849520 -
European Archives of... Jan 2022No standardized treatment regimen exists for juvenile recurrent parotitis (JRP). The investigators hypothesized that irrigation with saline only without local anesthesia...
PURPOSE
No standardized treatment regimen exists for juvenile recurrent parotitis (JRP). The investigators hypothesized that irrigation with saline only without local anesthesia will be an effective and beneficial option.
METHODS
Using a retrospective study design, a series of children with typical symptoms of JRP who were treated with at least one irrigation therapy were evaluated. This treatment consisted of irrigation of the affected gland with 3-10 ml saline solution without any type of anesthesia. The outcome variables were patient/parent satisfaction, frequency and duration of acute JRP episodes, and the need for antibiotics before and after irrigation therapy.
RESULTS
The case series was composed of six boys aged 3.3-7.7 years who experienced one to eight sessions of irrigation therapy. The period of follow-up was 9-64 months. We observed a total resolution of symptoms in two children and an improvement in the other four. No relevant side effects were seen.
CONCLUSION
Our results suggest that irrigation therapy is a reasonable, simple, and minimally invasive treatment alternative for JRP. In contrast to sialendoscopy or sialography, there is no need for general anesthesia or radiation exposure.
Topics: Anesthesia; Child; Endoscopy; Humans; Male; Parotitis; Patient Satisfaction; Retrospective Studies; Sialography
PubMed: 34117898
DOI: 10.1007/s00405-021-06928-w