What causes suppurative parotitis?
Acute bacterial suppurative parotitis is caused most commonly by Staphylococcus aureus and mixed oral aerobes and/or anaerobes. It often occurs in the setting of debilitation, dehydration, and poor oral hygiene, particularly among elderly postoperative patients.
What is the most common cause of parotitis?
Parotitis is a painful swelling of your parotid glands, which are salivary glands located between the ear and jaw. The most common cause is a virus, such as mumps, herpes, or Epstein-Barr. Bacterial infections, diabetes, tumours or stones in the saliva glands, and tooth problems also may cause parotitis.
What is parotitis and how is it treated?
Antibiotic therapy is the mainstay of treatment for parotitis that is caused by a bacterial infection. Additionally, if a secondary infection occurs within the mouth due to the dysfunctional salivary glands, antibiotics can be prescribed. Such an infection is diagnosed by fever or the presence of pus in the mouth.
What are the types of parotitis?
History
- Acute bacterial parotitis: The patient reports progressive painful swelling of the gland and fever; chewing aggravates the pain.
- Acute viral parotitis (mumps): Pain and swelling of the gland last 5-9 days.
- HIV parotitis: Nonpainful swelling of the gland occurs; otherwise, patient is asymptomatic.
Will parotitis go away?
Prognosis In the long term, most cases of parotitis go away and don’t return. Parotitis that is linked to another medical condition (such as HIV/AIDS or Sjögren’s syndrome) may not go away completely. It also may go away, but keep coming back.
What are the symptoms of parotitis?
Symptoms
- Face pain.
- Fever.
- Headache.
- Sore throat.
- Loss of appetite.
- Swelling of the parotid glands (the largest salivary glands, located between the ear and the jaw)
- Swelling of the temples or jaw (temporomandibular area)
What is the best treatment for parotitis?
Table 3: Treatment Recommendations for Bacterial Parotitis
| Clinical condition | First Line Therapy |
|---|---|
| Community aquired parotitis | Nafcillin OR cefazolin |
| Health care associated parotitis | Cefoxitin OR ertapenem ORampicillin/sulbactam |
| Parotitis associated with dental infections | Clindamycin OR flagyl +ceftriaxone |
What are the signs and symptoms of parotitis?
Will parotitis go away on its own?
The condition will go away on its own. You should avoid contact with other people (stay isolated) for 7 to 10 days from when you first get mumps so other people do not get infected. Small salivary stones can be taken out with a probe. You may need surgery to remove larger stones.
How do you unclog a parotid gland?
How is parotid duct obstruction treated?
- Increasing fluids.
- Putting moist heat on the area.
- Massaging the gland and duct.
- Sucking on candies to promote saliva secretion.
- Using pain medicines.
- Stopping use of any medicines that decrease saliva production, if medically possible.
How do you know if you have parotitis?
Acute bacterial parotitis: The patient reports progressive painful swelling of the gland and fever; chewing aggravates the pain. Acute viral parotitis (mumps): Pain and swelling of the gland last 5-9 days. Moderate malaise, anorexia, and fever occur. Bilateral involvement is present in most instances.
How do you get rid of parotitis?
Most episodes of chronic parotitis are treated symptomatically. Sialogogues, local heat, gentle massage of the gland from posterior to anterior, and hydration provide variable symptomatic relief. When pus is expressed from the Stensen duct, culture and sensitivity studies guide antibiotic selection.
What is the cause of parotitis?
Acute viral parotitis (mumps): The most common viral cause of parotitis is mumps. Routine vaccinations have dropped the incidence of mumps to a very low level.
What does virus cause parotitis?
Viral infections such as mumps, flu , and others can cause swelling of the salivary glands. Swelling happens in parotid glands on both sides of the face, giving the appearance of “chipmunk cheeks.” Salivary gland swelling is commonly associated with mumps, happening in about 30% to 40% of mumps infections.
What causes infectious parotitis?
Acute infection of the parotid gland can be caused by a variety of bacteria and viruses. Acute bacterial suppurative parotitis is caused most commonly by Staphylococcus aureus and mixed oral aerobes and/or anaerobes.