Acute suppurative parotitis with spread to the deep neck spaces

Cohen, Merrill A.; Docktor, John W

doi:10.1016/s0735-6757(99)90015-3

Cited by 21 publications

(11 citation statements)

References 14 publications

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“…Bacterial parotid infection is more commonly found in elderly, dehydrated patients who are intubated or diabetic 6. This did not correlate with our patient who was young and otherwise well.…”

Section: Differential Diagnosiscontrasting

confidence: 71%

Facial extention of ear pathology: infected cholesteatoma causing a parotid abscess

et al. 2015

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A man in his early 30s presented with right-sided preauricular swelling and facial oedema. He had a history of acid injury to his right ear as a child resulting in pinna deformity and subsequent blind sac closure of the external auditory canal. Imaging showed abnormal ear anatomy and abnormal density of the right parotid gland. Antibiotic therapy prevented progression but did not resolve the symptoms. Therefore, the infected area was surgically drained. This showed an underlying cholesteatoma, a benign but locally destructive condition where keratinising squamous epithelium grows in the middle ear and mastoid. The infected region was drained and the cholesteatoma was excised. This led to full resolution of the infection. The patient is awaiting a follow-up diffusion-weighted MRI. This case was unusual as the disease had extended beyond the ear and we therefore wish to alert clinicians to cholesteatoma as a possible cause of facial swelling.

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Section: Differential Diagnosiscontrasting

confidence: 71%

Facial extention of ear pathology: infected cholesteatoma causing a parotid abscess

et al. 2015

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“…In adults, bacterial parotiditis is most common among the elderly and those who are debilitated. It also is common in postoperative patients who underwent intubation and are dehydrated (11,17). The most common pathogens in acute parotiditis are S aureus and anaerobic bacteria; S aureus is recovered in more than 50% of patients (2,16).…”

Section: Salivary Glandmentioning

confidence: 99%

Emergency Imaging Assessment of Acute, Nontraumatic Conditions of the Head and Neck

Capps¹,

Kinsella²,

Gupta³

et al. 2010

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102

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Patients often present to the emergency department with a wide variety of nontraumatic infectious, inflammatory, and neoplastic conditions of the head and neck. Because the use of cervical and neck computed tomography (CT) has become routine in the emergency setting, knowledge of the imaging findings of common acute conditions of the head and neck is essential to ensure an accurate diagnosis of these potentially life-threatening conditions, which include oral cavity infections, tonsillitis and peritonsillar abscess, sialadenitis, parotiditis, diskitis, thrombophlebitis, periorbital and orbital cellulitis, infectious cervical lymphadenopathy, and various neoplasms. Less common conditions that require rapid diagnosis and treatment include epiglottitis, invasive fungal sinusitis, angioedema, and deep neck abscess. Familiarity with these conditions enables the radiologist to make a prompt diagnosis, assess the extent of disease, and evaluate for potential complications. CT is the first-line imaging modality in the emergency setting; however, magnetic resonance imaging plays an important secondary role.

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“…The reported risk factors for chronic sialoadenitis and suppurative infections of the parotid gland include an acute decrease in salivary flow due to blockage by scarring, foreign body or tumor, Sjögren’s syndrome, immune compromise, dehydration, debilitation, and poor oral hygiene [5–7]. On the other hand, the use of CPAP may be associated with excessive oral dryness in spite of in-line humidifiers that are used with CPAP devices.…”

Section: Discussionmentioning

confidence: 99%

Parotid abscess in a patient with obstructive sleep apnea treated with continuous positive airway pressure therapy

2011

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Acute suppurative parotitis with spread to the deep neck spaces

Cited by 21 publications

References 14 publications

Facial extention of ear pathology: infected cholesteatoma causing a parotid abscess

Facial extention of ear pathology: infected cholesteatoma causing a parotid abscess

Emergency Imaging Assessment of Acute, Nontraumatic Conditions of the Head and Neck

Parotid abscess in a patient with obstructive sleep apnea treated with continuous positive airway pressure therapy

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