Salivary Gland Disorders

Question 1

Parotitis

Answer 1

etiology:

• first episode of parotitis may be considered of viral origin, unless fluctuance is present
• leading cause was mumps until vaccination
• now leading viruses are parainfluenza and Epstein-Barr virus
• HIV infection should be considered if child is known to be at risk

Question 2

Suppurative Parotitis

Answer 2

epidemiology:
* newborns and debilitated elderly pts
etiology:
* most common cause = Staph aureus

S/O:

• parotid gland is swollen, tender, and often erythematous, usually unilaterally

A:

• DX made by expression of purulent material from Stensen’s duct
• material should be cx

P/TX:

• hospitalization and IV abx

Question 3

Juvenile Recurrent Parotitis

Answer 3

epidemiology:

• most prevalent b/n ages 3 and 6 yo and generally decreases by adolescence
  etiology:
• cause is unknown but possible factors include: ductal anomaly, autoimmune, allergy, and genetic

S/O:

• recurrent nonsuppurative parotid inflammation w/ swelling or pain and fever
• usually occurs unilaterally

P/TX:

• analgesics and some recommend antistaphylococcal abx for prophylaxis of bacterial infection and faster resolution
• endoscopy of Stensen’s duct for not only confirmation of DX but also TX