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Bacterial parotitis : a case report / Leonides Tamayo.

Contributor(s): Language: english Publication details: Fairview, Quezon City Department of Child Heath, FEU-NRMF, 2009Description: tables; (in folder)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • CH 2009 0002
Summary: Abstract: A 5 year and 11 month old female presented with bilateral swelling of submandibular areas for seven days, accompanied by intermittent low grade fever. Three days prior to admission. There was spontaneous of the left submandibular swelling but swelling of the right submandibular area persisted. Amoxicillin was given for three days after consultation. without improvement of the swelling. Physical examination showed asymmetrical face, with 5 x 4 cm slightly erythematous, firm, tender swelling anterior to the ear extending below the mastoid process, obliterating the angel of the jaw on the right, which hyperemic ear canal, congested turbinates, with difficulty and limitation in opening the mouth. There were multiple dental caries and copious exudates on the right Stensen`s duct orifice especially evident by milking the parotid. Bacterial parotitis was considered and confirmed by culture of the discharge from the right Stensen`s duct that revealed heavy growth of Klebsiella pneumoniae. Patient was admitted and treated with antibiotics and was eventually discharged improved. The occurrence of acute suppurative bacterial has become infrequent. Unfortunately, no local incidence rate is available. Its historical importance and occurrence today necessitate in-depth knowledge of this entity. Acute suppurative bacterial parotitis caused by Klebsiella pneumonia which is not a normal flora of the mouth, has now been isolated in some cases of the disease.
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Includes appendices and bibliographical references.

Abstract: A 5 year and 11 month old female presented with bilateral swelling of submandibular areas for seven days, accompanied by intermittent low grade fever. Three days prior to admission. There was spontaneous of the left submandibular swelling but swelling of the right submandibular area persisted. Amoxicillin was given for three days after consultation. without improvement of the swelling. Physical examination showed asymmetrical face, with 5 x 4 cm slightly erythematous, firm, tender swelling anterior to the ear extending below the mastoid process, obliterating the angel of the jaw on the right, which hyperemic ear canal, congested turbinates, with difficulty and limitation in opening the mouth. There were multiple dental caries and copious exudates on the right Stensen`s duct orifice especially evident by milking the parotid. Bacterial parotitis was considered and confirmed by culture of the discharge from the right Stensen`s duct that revealed heavy growth of Klebsiella pneumoniae. Patient was admitted and treated with antibiotics and was eventually discharged improved. The occurrence of acute suppurative bacterial has become infrequent. Unfortunately, no local incidence rate is available. Its historical importance and occurrence today necessitate in-depth knowledge of this entity. Acute suppurative bacterial parotitis caused by Klebsiella pneumonia which is not a normal flora of the mouth, has now been isolated in some cases of the disease.

Research - Department of Child Health

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