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. 2021 May;5(2):218-221.
doi: 10.5811/cpcem.2021.3.51501.

Neonatal Parotitis: A Case Report

Ayush Gupta  1   2 , Tyler Kingdon  2 , Andrew McKernan  2
Affiliations

Neonatal Parotitis: A Case Report

Ayush Gupta et al. Clin Pract Cases Emerg Med. 2021 May.

Abstract

Introduction: Acute suppurative parotitis is a rare finding in the neonate. It is commonly caused by Staphylococcus aureus, but other bacterial isolates may be emerging. It is a novel disease for this age group and requires unique management. Only 32 cases of neonatal suppurative parotitis have been described in the English-language literature over the last 35 years.

Case report: We describe a case of a 14-day-old male who presented to the pediatric emergency department with a 24-hour history of swelling and redness of the right cheek. On examining him, purulent material was seen inside his oral cavity. He was subsequently hospitalized with a diagnosis of neonatal suppurative parotitis and received five days of parenteral antibiotics with improvement in swelling and redness. He was discharged home with oral antibiotics.

Conclusion: Although neonatal suppurative parotitis is rare, it should be suspected in newborns presenting with an erythematous pre-auricular mass with or without any predisposing factors. We describe a rare case of acute suppurative parotitis in a neonate and review the published literature.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Black arrow shows swelling and erythema over the right side of the face in neonate with suppurative parotitis.
Image 2
Image 2
Parotid point-of-care ultrasound: swollen right-side parotid gland (solid white arrow) compared to the left-side parotid gland (dotted white arrow).
Image 3
Image 3
Parotid point-of-care ultrasound with Doppler showing increased vascularity (multiple white arrows) around the swollen right parotid gland, confirming parotitis.
See this image and copyright information in PMC

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