BACKGROUND: Parotitis is a well recognized entity in the adult population, however there are very few studies concerning the clinical presentation and management of this condition in children. OBJECTIVES: To characterize pediatric parotitis in a tertiary care setting, with the goal of clarifying management recommendations and outcomes. METHODS: The charts of all pediatric patients with a diagnosis of parotitis treated at a tertiary care academic institution from 1999 to 2004 were reviewed. The management of inpatients and outpatients were characterized to define differences in presentation and care. RESULTS: Twenty-one children (6 months-15 years) with a diagnosis of parotitis were identified. Thirteen (62%) children were treated as inpatients, of which seven (54%), had significant medical co-morbidities. The most common clinical presentations of the inpatient group included dehydration (46%), fever (38%) and leukocytosis (46%). Two inpatients (15%) required surgical drainage due to abscess formation. Eight children (38%) were treated as outpatients, none with associated co-morbidity, fever, leukocytosis, or complication due to infection. All outpatients were treated with oral antibiotics or conservative therapy with eventual resolution. CONCLUSIONS: Parotitis in the pediatric population is uncommon. The presence of a significant co-morbidity, fever, or leukocytosis may require inpatient therapy and imaging if patients fail to improve with medical therapy. Other than abscess drainage, surgery for parotitis in children is not routinely recommended.
BACKGROUND:Parotitis is a well recognized entity in the adult population, however there are very few studies concerning the clinical presentation and management of this condition in children. OBJECTIVES: To characterize pediatric parotitis in a tertiary care setting, with the goal of clarifying management recommendations and outcomes. METHODS: The charts of all pediatric patients with a diagnosis of parotitis treated at a tertiary care academic institution from 1999 to 2004 were reviewed. The management of inpatients and outpatients were characterized to define differences in presentation and care. RESULTS: Twenty-one children (6 months-15 years) with a diagnosis of parotitis were identified. Thirteen (62%) children were treated as inpatients, of which seven (54%), had significant medical co-morbidities. The most common clinical presentations of the inpatient group included dehydration (46%), fever (38%) and leukocytosis (46%). Two inpatients (15%) required surgical drainage due to abscess formation. Eight children (38%) were treated as outpatients, none with associated co-morbidity, fever, leukocytosis, or complication due to infection. All outpatients were treated with oral antibiotics or conservative therapy with eventual resolution. CONCLUSIONS:Parotitis in the pediatric population is uncommon. The presence of a significant co-morbidity, fever, or leukocytosis may require inpatient therapy and imaging if patients fail to improve with medical therapy. Other than abscess drainage, surgery for parotitis in children is not routinely recommended.
Authors: Nicole Stoesser; Joanna Pocock; Catrin E Moore; Sona Soeng; Hor P Chhat; Poda Sar; Direk Limmathurotsakul; Nicholas Day; Vann Thy; Vuthy Sar; Christopher M Parry Journal: Pediatr Infect Dis J Date: 2012-08 Impact factor: 2.129
Authors: Alberto Maria Saibene; Fabiana Allevi; Tareck Ayad; Jérome R Lechien; Miguel Mayo-Yáñez; Krzysztof Piersiala; Carlos M Chiesa-Estomba Journal: Acta Otorhinolaryngol Ital Date: 2022-04 Impact factor: 2.618