Otolaryngology Book

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Acute Suppurative Sialoadenitis

Aka: Acute Suppurative Sialoadenitis, Obstructive Sialadenitis, Bacterial Sialoadenitis, Supprative Parotitis, Acute Parotitis, Parotitis
  1. Pathophysiology
    1. Most common in age >50 years
      1. Contrast with Viral Sialoadenitis
    2. Parotid Gland is most commonly affected Salivary Gland
      1. Less bacteriostatic secretions than submandibular
    3. Usually due to bacterial infection
      1. Staphylococcus aureus (most common)
      2. Streptococcus species
      3. Gram Negative Bacteria
      4. Anaerobic Bacteria
  2. Risk Factors
    1. Advanced age
    2. Volume depletion
    3. Anticholinergic Medications causing Xerostomia
    4. Secondary to Salivary Gland Calculus
      1. Known as Obstructive Sialadenitis
  3. Symptoms
    1. Acute pain localized over affected Salivary Gland
    2. High fever with chills often present
  4. Signs
    1. Ill appearing patient
    2. Tender, swollen Salivary Gland (usually Parotid Gland)
    3. Regional Lymphadenopathy
    4. Pus at affected Salivary duct orifice
      1. Parotid duct (Stensen's Duct) at upper second molar
      2. Submandibular duct (Wharton's Duct) at frenulum
  5. Labs
    1. Gram Stain and culture of Salivary duct discharge
  6. Radiology
    1. CT Scan if not improving within 3-4 days
    2. Avoid sialography in acute Bacterial Sialoadenitis
  7. Differential Diagnosis
    1. See Lymphadenopathy of the Head and Neck
    2. Sialolithiasis
  8. Management
    1. Start antibiotic coverage for Staphylococcus aureus
      1. Dicloxacillin
    2. Increase Saliva production
      1. Increase fluid intake
      2. Lemon drops to increase Saliva secretion
      3. Stop anticholinergics and other Xerostomia causes
    3. Symptomatic therapy
      1. Analgesics
      2. Warm compresses over affected Salivary Gland
      3. Attempt to milk gland of discharge
    4. Otolaryngology consultation
      1. Early surgical drainage is often required
      2. Also indicated if no improvement in 3-4 days
  9. References
    1. Fedok in Noble (2001) Primary Care Medicine, p. 1770-1
    2. Chow in Mandell (2000) Infectious Disease, p. 699-700
    3. Walner in Cummings (1998) Otolaryngology, p. 5-121

Mumps (C0026780)

Definition (MSHFRE) Maladie infectieuse aiguë due à un rubulavirus. La transmission se fait par contact direct, par des goutellettes aéroportées, par des objets souillés par de la salive infectieuse et peut-être par l'urine. Bien que des adultes puissent être infectés, l'infection survient principalement chez les enfants de moins de 15 ans. ( Extr. Dorland, 28ème éd.)
Definition (MEDLINEPLUS)

Mumps is an illness caused by the mumps virus. Mumps causes

  • Fever
  • Headache
  • Muscle aches
  • Tiredness
  • Loss of appetite

Swelling of the salivary glands follows these symptoms. Swelling of the glands near the jaw line below the ears may give you "chipmunk cheeks." Serious problems are rare, but can include deafness; swelling of the brain, spinal cord, testicles, breasts or ovaries; and pregnancy loss.

You can catch mumps by being with another person who has it. There is no treatment for mumps, but the measles-mumps-rubella (MMR) vaccine can prevent it. Mumps used to be a common childhood illness. Today it is uncommon, with fewer then 1,000 cases per year on average, because of the vaccine.

Centers for Disease Control and Prevention

Definition (MSH) An acute infectious disease caused by RUBULAVIRUS, spread by direct contact, airborne droplet nuclei, fomites contaminated by infectious saliva, and perhaps urine, and usually seen in children under the age of 15, although adults may also be affected. (From Dorland, 28th ed)
Definition (CSP) acute, inflammatory, contagious disease caused by Rubulavirus and characterized by swelling of the salivary glands, especially the parotids, and sometimes of the pancreas, ovaries, or testes; spread by direct contact, airborne droplet nuclei, fomites contaminated by infectious saliva, and perhaps urine.
Concepts Disease or Syndrome (T047)
MSH D009107
ICD9 072
ICD10 B26, B26.9
SnomedCT 154352008, 240526004, 36989005, 186651001, 186652008
English Mumps, EPIDEMIC PAROTITIS, MUMPS, Mumps, NOS, Epidemic Parotitides, Parotitides, Epidemic, Parotitis, Epidemic, epidemic parotiditis, mumps (diagnosis), parotitis infectious, infectious parotitis (diagnosis), mumps, epidemic parotitis (diagnosis), parotitis epidemic, infectious parotitis, epidemic parotitis, Clinical mumps, Mumps NOS, Mumps parotitis NOS, Mumps [Disease/Finding], mumps parotitis, Epidemic parotitis, Infectious parotitis, Mumps parotitis, Mumps (disorder), Mumps parotitis (disorder), epidemic; parotitis, infectious; parotitis, parotitis; epidemic, parotitis; infectious, Parotitis - epidemic, Parotitis, Epidemic Parotitis
Dutch epidemische parotitis, klinische bof, epidemica; parotitis, infectieus; parotitis, parotitis; epidemica, parotitis; infectieus, bof, Bof, Parotitis epidemica
French Parotidite épidémique, Cas cliniques d'oreillons, Oreillons
German klinischer Mumps, epidemische Parotitis, Mumps, Parotitis epidemica
Italian Parotite clinica, Parotite epidemica, Orecchioni
Portuguese Papeira clínica, Parotidite epidémica, Parotidite epidemica/papeira, Papeira, Caxumba, Parotidite Epidêmica, Parotite Epidêmica, Trasorelho
Spanish Parotiditis epidémica, Parotitis - epidemic, Epidemic parotitis, Mumps, Parotiditis epidemica/paperas, Parotiditis Urliana, Fiebre Urliana, Infecto-Fiebre Urliana, paperas, fiebre urliana, parotiditis (trastorno), parotiditis epidémica, parotiditis infecciosa, parotiditis urliana (trastorno), parotiditis urliana, parotiditis, Paperas, Parotiditis Epidémica, Parotitis Epidemica, Parotitis Epidémica, Parotiditis Epidemica
Japanese 臨床的耳下腺炎, ムンプス, リュウコウセイジカセンエン, リンショウテキジカセンエン, おたふくかぜ, ムンプス, マンプス, 流行性耳下腺炎, 耳下腺炎-流行性
Swedish Påssjuka, PASSJUKA/PAROTITIS
Czech příušnice, Manifestní parotitis epidemica, Epidemická parotitida, Parotitis epidemica, parotitis epidemica
Finnish Sikotauti, SIKOTAUTI
Russian SVINKA, PAROTIT EPIDEMICHESKII, ПАРОТИТ ЭПИДЕМИЧЕСКИЙ, СВИНКА
Danish Faresyge
Norwegian KUSMA
Hungarian parotitis epidemica, mumps, Epidemiás parotitis, Klinikai mumps
Korean 볼거리
Croatian ZAUŠNJACI
Basque GOLOA
Polish Zapalenie przyusznic nagminne, Świnka
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Obstructive sialadenitis (C0149773)

Concepts Anatomical Abnormality (T190)
SnomedCT 235127000
English SALIVARY GLAND OBSTRUCTION, glands obstructions salivary, salivary gland obstruction, Obstructive sialadenitis, Salivary gland obstruction, Obstructive sialadenitis (disorder)
Spanish obstrucción de glándula salival, sialoadenitis obstructiva (trastorno), sialoadenitis obstructiva
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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