Parotitis: Difference between revisions
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|suppurative parotitis |
|suppurative parotitis |
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|[[Staphylococcus aureus]] and other |
|[[Staphylococcus aureus]] and other oral flora including [[anaerobes]] |
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|usually unilateral with acute presentation of fever, pain, ± purulent discharge |
|usually unilateral with acute presentation of fever, pain, ± purulent discharge |
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|supportive care with antistaphylococcal antibiotics |
|supportive care with antistaphylococcal antibiotics + anaerobic coverage |
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|non-suppurative parotitis |
|non-suppurative parotitis |
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Latest revision as of 15:27, 19 February 2022
| Syndrome | Microbiology | Clinical Manifestations | Treatment |
|---|---|---|---|
| suppurative parotitis | Staphylococcus aureus and other oral flora including anaerobes | usually unilateral with acute presentation of fever, pain, ± purulent discharge | supportive care with antistaphylococcal antibiotics + anaerobic coverage |
| non-suppurative parotitis | mumps virus, HHV-6, non-infectious causes (sarcoidosis) | usually bilateral, with prodrome and less acuity | supportive care |
Management
- Supportive care includes analgesia, warm compresses, massage, and sialagogues
- May need CT or ultrasound to exclude underlying drainable abscess
