Overview
Suppurative parotitis is an infection of the parotid gland, characterized by inflammation and pus formation 1. It is a relatively rare condition 1.Diagnosis
Diagnosis is typically based on clinical presentation, including parotid swelling, erythema, tenderness, and purulent discharge from Stensen's duct 1.
Microbiological cultures of purulent discharge can identify the causative organism 1.Management
Treatment involves antibiotics, often broad-spectrum initially, with adjustments based on culture and sensitivity results 1.
Supportive care includes hydration and analgesia 1.
Surgical drainage may be necessary in cases of abscess formation 1.Special Populations
Patients with Sjögren's syndrome may be at increased risk 1.Key Recommendations
Empirical antibiotic therapy should be initiated, with coverage for common pathogens like Streptococcus pneumoniae 1. (Evidence: Weak)
Cultures of purulent discharge should be obtained for targeted antibiotic therapy 1. (Evidence: Weak)
Surgical intervention may be required for complications such as abscess formation 1. (Evidence: Weak)References
1 Gomez-Rodrigo J, Mendelson J, Black M, Dascal A. Streptococcus pneumoniae acute suppurative parotitis in a patient with Sjögren's syndrome. The Journal of otolaryngology 1990. link