Suppurative Parotitis and Submandibular Sialadenitis
The present case report is about an 18 days old full term female neonate presented to our department with swelling in parotid and submandibular area on left side for 6 days. The swelling was associated with fever. Further history revealed a small hole below the mandible draining pus. On examination, the baby was toxic running high grade fever and irritability. The local examination revealed a swelling about 5 cm × 4 cm in size in parotid area extending down to submandibular and submental area. There was a pustule near submental area draining purulent material. Overlying skin was erythematous and swelling was fluctuant [].\nFurther examination revealed that upon pressing the swelling, purulent material was extruding through the floor of the mouth []. Aspiration of the swelling revealed pus. The base line investigation were done which showed leucocytosis - 18,000/μl with neutrophillis - 80%, kidney and liver function tests were normal, Incision and drainage of the abscess was done about 30-40 ml of frank pus was drained. Pus was sent for culture sensitivity. Patient was already put on amoxicillin + clavulanate (15 mg/kg orally every 12 h). Post-operatively, patient was given antibiotics for 2 days. After 4-days no abscess was found on follow-up clinical examination. Pus culture sensitivity grew Staphylococcus aureus. Mothers milk was sent for culture and sensitivity and was sterile. Local examination of mothers breasts was also normal. In follow-up after two weeks and then at 1 month of discharge from hospital, baby had completely recovered.