Parotitis: Difference between revisions

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|suppurative parotitis
 
|suppurative parotitis
|[[Staphylococcus aureus]] and other bacteria
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|[[Staphylococcus aureus]] and other oral flora including [[anaerobes]]
 
|usually unilateral with acute presentation of fever, pain, ± purulent discharge
 
|usually unilateral with acute presentation of fever, pain, ± purulent discharge
|supportive care with antistaphylococcal antibiotics
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|supportive care with antistaphylococcal antibiotics + anaerobic coverage
 
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|non-suppurative parotitis
 
|non-suppurative parotitis

Latest revision as of 11:27, 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