Neonatal suppurative parotitis over the last 4 decades: Report of three new cases and review
Article first published online: 14 FEB 2013
© 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society
Volume 55, Issue 1, pages 60–64, February 2013
How to Cite
Ismail, E. A., Seoudi, T. M., Al-Amir, M. and Al-Esnawy, A. A. (2013), Neonatal suppurative parotitis over the last 4 decades: Report of three new cases and review. Pediatrics International, 55: 60–64. doi: 10.1111/j.1442-200X.2012.03738.x
- Issue published online: 14 FEB 2013
- Article first published online: 14 FEB 2013
- Accepted manuscript online: 8 OCT 2012 03:36AM EST
- Manuscript Accepted: 5 SEP 2012
- Manuscript Revised: 4 SEP 2012
- Manuscript Received: 22 APR 2012
Neonatal suppurative parotitis is a rare disease. Only 32 cases were reported in the English-language literature between 1970 and 2004.
We searched Medline for acute, neonatal, bacterial, suppurative, parotitis, facial, preauricular swelling starting from 1970, limiting our search to the English-language literature. We reviewed all the reported cases together with three more managed in our department.
We identified nine new cases since 2004. The total number of patients reviewed was 44, including our patients. Most of them were male (77%). The majority developed unilateral inflamed parotid swelling (77%) and exuded pus from the ipsilateral Stensen duct. Fever was seen in fewer than half of them (47%). Premature babies constituted a third of the patients. Staphylococcus aureus was the leading causative agent (61%). Most patients responded well to conservative treatment with antibiotics (77%). The most frequently used combination of antibiotics was an anti-staphylococcal agent with either an aminoglycoside or a third-generation cephalosporin. A minority required surgical drainage. No deaths were reported in the group studied after 1970.
Neonatal suppurative parotitis is rare but easy to diagnose and if readily treated with appropriate antibiotics the outcome is excellent.