Parotitis: Symptoms, Causes, And Treatment

Parotitis: Symptoms, Causes, And Treatment

Write short note on acute parotitis.

Answer. Acute inflammation of parotid can occur due to bacterial or non-bacteria causes. This may be unilateral and bilateral.

Acute Non-Suppurative Parotitis (Mumps Parotitis)

It is an acute generalized viral disease with painful enlargement of salivary gland chief parotid.

Acute parotitis Clinical Features

Fever, headache, muscular pain are usually found, both parotids are enlarged with pain and temperature.

“Symptoms Of Parotitis In Adults”

Acute parotitis Treatment

Only symptomatic treatments analgesic and anti-inflammatory drugs.

Acute Suppurative Parotitis

It is and acute inflammation of parotid gland caused by Staphylococcus aureus.

Streptococcus viridans and pneumococci may be involved.

“Causes Of Parotitis Infection”

Pathogenesis: The bacterium reaches to the salivary gland through the stenson’s duct. This is called as retrograde infection.

Acute Suppurative Parotitis Clinical Features

• Pain and swelling on one side of face
• Browny edematous swelling over the parotid region with all signs of inflammation.
• Cellulitis of overlying skin
• Pus comes out on pressing the parotid gland.

“The Role Of Antibiotics In Treating Bacterial Parotitis”

Acute Suppurative Parotitis Investigations

• Ultrasonography of parotid region should be done.
• Pus collected from duct orifie should be sent for culture and sensitivity
• Needle aspiration from the abscess is done to confirm formation of pus.

Acute Suppurative Parotitis Treatment

Conservative line of management:

• It is indicative in a stage of cellulitis with no evidence of abscess.
• Maintain good oral hygiene.
• Proper antibiotic mainly cloxacillin 500 mg 6 hourly along with metronidazole 400 mg 8 hourly.

“Understanding The Causes Of Parotitis”

Surgical treatment:

• Incision and drainage should be done under general anesthesia.
• Incise the skin in front of tragus vertically and then parotid sheath is opened horizontally.
  Pus is drained by using the sinus forcep. This is known as blair’s incision. Antibiotics should be continued.
• Proper hydration, mouthwash using povidone iodine or potassium permagnate solutions.