| 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
