Thank you Dr. DuVall for an excellent case and presentation on Parotitis

Teaching Points:

• Risk Factors
  • Poor oral hygiene, malnutrition, dehydration, recent intensive tooth cleaning, anticholinergic drugs
• Microbiology
  • Polymicrobial (Staph aureus most common, anerobes, GNRs)
  • Nonsupporative parotitis: Viral (mumps, influenza, coxsackie, EBV, parainfluenza, CMV)
• Don’t forget about noninfectious causes: collagen vascular diease, DM, CF, alcohlism, sialolithiasis, sarcoidosis
• Management
  • Imaging w/CT vs US
  • Aspiration of gland for culture
  • IV antibiotics +/- surgical drainage

Further Reading:
Review of Salivary Gland Disorders