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Acute Suppurative Parotitis

694

Somchai Srirompotong MD*, Somchart Saeng-Sa-Ard MD*
* Department of Otolaryngology, Faculty of MedicineKhon Kaen University

Abstract


The parotid is the salivary gland most affected by inflammatory process. The authors reviewed the
records of 36 patients with acute suppurative parotitis admitted between July 1996 and June 2002. All
patients had unilateral swelling of the cheek that extended to the angle of the jaw; 23 had fever (64%) and
6 diabetes (17%). Even though Staphylococcus aureus is the usual pathogen in acute suppurative parotitis;
in the present study, alpha-hemolytic streptococci predominated. Adequate hydration and administration of
parenteral antimicrobials are essential managements of suppurative parotitis. In the event a well formed
abscess, surgical drainage was necessary. The choice of antibiotics depends on the causal microbes.

Keyword : Acute suppurative parotitis



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