-
RoFo : Fortschritte Auf Dem Gebiete Der... Sep 2014The interdisciplinarily developed German S2k AWMF guideline for the treatment of obstructive sialadenitis represents a new standard in the guideline program of the AWMF,...
The interdisciplinarily developed German S2k AWMF guideline for the treatment of obstructive sialadenitis represents a new standard in the guideline program of the AWMF, the German Society for Consultants and the clinical disciplines working in the field of diseases of the head and neck region. In the last few years new diagnostic and therapeutic possibilities have been established in obstructive chronic Sialadenitis offering individually optimized therapeutic strategies. Only a few years ago extirpation of the whole affected gland was the only relevant therapy option. Nowadays therapeutic options such as interventional sialendoscopy and extracorporeal shock-wave lithotripsy (ESWL) are available in combination with marsupialization or incision of the duct. If possible the focus is on preserving the main glandular duct. In the following article the relevant aspects for the diagnostic radiologic procedures are presented.
Topics: Adult; Constriction, Pathologic; Diagnostic Imaging; Endoscopy; Follow-Up Studies; Humans; Image Processing, Computer-Assisted; Magnetic Resonance Imaging; Middle Aged; Parotitis; Radionuclide Imaging; Salivary Duct Calculi; Salivary Gland Diseases; Sensitivity and Specificity; Sialadenitis; Sialography; Sublingual Gland; Submandibular Gland Diseases; Subtraction Technique; Ultrasonography
PubMed: 25127110
DOI: 10.1055/s-0034-1366867 -
Clinical Infectious Diseases : An... Aug 2018During the 2014-2015 US influenza season, 320 cases of non-mumps parotitis (NMP) among residents of 21 states were reported to the Centers for Disease Control and...
BACKGROUND
During the 2014-2015 US influenza season, 320 cases of non-mumps parotitis (NMP) among residents of 21 states were reported to the Centers for Disease Control and Prevention (CDC). We conducted an epidemiologic and laboratory investigation to determine viral etiologies and clinical features of NMP during this unusually large occurrence.
METHODS
NMP was defined as acute parotitis or other salivary gland swelling of >2 days duration in a person with a mumps- negative laboratory result. Using a standardized questionnaire, we collected demographic and clinical information. Buccal samples were tested at the CDC for selected viruses, including mumps, influenza, human parainfluenza viruses (HPIVs) 1-4, adenoviruses, cytomegalovirus, Epstein-Barr virus (EBV), herpes simplex viruses (HSVs) 1 and 2, and human herpes viruses (HHVs) 6A and 6B.
RESULTS
Among the 320 patients, 65% were male, median age was 14.5 years (range, 0-90), and 67% reported unilateral parotitis. Commonly reported symptoms included sore throat (55%) and fever (48%). Viruses were detected in 210 (71%) of 294 NMP patients with adequate samples for testing, ≥2 viruses were detected in 37 samples, and 248 total virus detections were made among all samples. These included 156 influenza A(H3N2), 42 HHV6B, 32 EBV, 8 HPIV2, 2 HPIV3, 3 adenovirus, 4 HSV-1, and 1 HSV-2. Influenza A(H3N2), HHV6B, and EBV were the most frequently codetected viruses.
CONCLUSIONS
Our findings suggest that, in addition to mumps, clinicians should consider respiratory viral (influenza) and herpes viral etiologies for parotitis, particularly among patients without epidemiologic links to mumps cases or outbreaks.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Influenza, Human; Male; Middle Aged; Mumps; Parotitis; Pharyngitis; Seasons; Surveys and Questionnaires; United States; Viruses; Young Adult
PubMed: 29617951
DOI: 10.1093/cid/ciy137 -
Anales de Pediatria (Barcelona, Spain :... Mar 2004Acute suppurative parotitis is highly uncommon in neonates. Approximately 100 cases have been reported in the literature. Dehydration and prematurity are important... (Review)
Review
Acute suppurative parotitis is highly uncommon in neonates. Approximately 100 cases have been reported in the literature. Dehydration and prematurity are important predisposing factors. Diagnosis is based on clinical signs. White blood cell count and parotid ultrasonography are useful. The most commonly isolated causative organism is Staphylococcus aureus. Initial treatment consists of antistaphylococcal empiric antimicrobial therapy for 7-10 days. The prognosis is good. The illness is not usually associated with recurrences. We describe two 12-day-old newborn infants who presented with fever, unilateral swelling of the parotid region with erythema, warmness and pain, and purulent discharge from Stensen's duct. We also provide a literature review.
Topics: Acute Disease; Female; Humans; Infant, Newborn; Male; Parotitis; Suppuration
PubMed: 14987521
DOI: 10.1016/s1695-4033(04)78264-8 -
The Western Journal of Medicine Aug 1998
Topics: Acute Disease; Adult; Amphotericin B; Candidiasis; Cefuroxime; Cephalosporins; Humans; Infusions, Intravenous; Male; Parotitis; Streptococcal Infections; Streptococcus pyogenes
PubMed: 9735697
DOI: No ID Found -
Archives of Disease in Childhood Jan 1993
Topics: Autoimmune Diseases; Child; Common Variable Immunodeficiency; Female; Humans; Parotitis; Recurrence
PubMed: 8499014
DOI: 10.1136/adc.68.1.151-a -
The Journal of the Royal College of... Mar 1985
Topics: Adult; Arthritis, Infectious; Humans; Male; Mumps
PubMed: 3989780
DOI: No ID Found -
British Medical Journal (Clinical... Jul 1982
Topics: Aged; Female; Humans; Nitrofurantoin; Parotitis
PubMed: 6807476
DOI: 10.1136/bmj.285.6338.344 -
British Medical Journal (Clinical... Oct 1982
Topics: Aged; Female; Humans; Middle Aged; Nitrofurantoin; Parotitis
PubMed: 6812739
DOI: 10.1136/bmj.285.6347.1049-b -
BMJ Case Reports Jun 2015Acute neonatal parotitis (ANP) is a rare condition, characterised by parotid swelling and other local inflammatory signs. The most common pathogen is Staphylococcus...
Acute neonatal parotitis (ANP) is a rare condition, characterised by parotid swelling and other local inflammatory signs. The most common pathogen is Staphylococcus aureus, but other organisms can be implicated. We describe the case of a 13-day-old term newborn, previously healthy, with late-onset group B Streptococcus (GBS) bacteraemia with ANP, who presented with irritability, reduced feeding and tender swelling of the right parotid. Laboratory evaluation showed neutrophilia, elevated C reactive protein and procalcitonin, with normal serum amylase concentration. Ultrasound findings were suggestive of acute parotitis. Empiric antibiotic therapy was immediately started and adjusted when culture results became available. The newborn was discharged after 10 days, with clinical improvement within the first 72 h. Although S. aureus is the most common pathogen implicated in ANP, GBS should be included in the differential diagnosis.
Topics: Acute Disease; Anti-Bacterial Agents; Diagnosis, Differential; Humans; Infant, Newborn; Infant, Newborn, Diseases; Inflammation; Male; Parotid Gland; Parotitis; Streptococcal Infections; Streptococcus agalactiae; Ultrasonography
PubMed: 26063107
DOI: 10.1136/bcr-2014-209115 -
Academic Emergency Medicine : Official... Feb 1998
Topics: Child; Diagnosis, Differential; Female; Humans; Parotitis
PubMed: 9492136
DOI: 10.1111/j.1553-2712.1998.tb02600.x