This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Bacterial pyogenic parotitis affecting the parotid gland is most common after: March 2008 
Select and explain. 
A. Uveo-parotid fever, B. Mumps, C. Debilitation after major surgery, D. After administration of iodine
C: Debilitation after major surgery
Answer: C: Debilitation after major surgery 
Explanation: Ans. C: Debilitation after major surgery Acute bacterial parotitis is now infrequent, but its historical impoance. Mumps and bacterial parotitis were differentiated by 1800, but neither was effectively treated. The moality rate for bacterial parotitis was 80%. Before antibiotics and intravenous administration of fluids were available, bacterial parotitis occurred in postoperative patients or other severely ill patients who became dehydrated and contributed to their demise as an incurable sepsis.