Abstract
The diagnosis of acute bacterial parotitis usually does not cause much clinical concern due to the characteristic clinical signs and symptoms, such as pain and swelling of parotid gland associated with fever and elevated inflammatory markers in laboratory tests. Early diagnosis and accurate treatment result in fast recovery without complications. In rare cases, acute bacterial parotitis may cause severe complications, such as parotid gland abscess or parapharyngeal space phlegmon. Parapharyngeal space phlegmon is a severe, life-threatening condition. It can spread to craniofacial and neck fascial spaces, mediastinum, and lead to sepsis and septic shock. Craniofacial and neck phlegmon requires prompt surgical treatment and intensive antibiotic therapy.
In this case study, we present an 82-year-old woman with bacterial parotitis that resulted in multiple complications. The first complication was parotid gland abscess, which caused extended craniofacial and neck phlegmon that led to sepsis. As a result of immediate intensive treatment, which consisted of broad-spectrum antibiotic therapy, surgical drainage, and hydro-electrolyte imbalance management, the treatment ended in a success. The patient fully recovered and was discharged home in a good general condition.
References
(1) Guzman Vinasco L, et al. Acute suppurative parotitis caused by Streptococcus pneumoniae in an HIV-infected man. BMJ Case Rep 2015.
(2) Favaretto N, Fasanaro E, Staffieri A, Marchese-Ragona R, Staffieri C, Giacomelli L, Stramare R, Ottaviano G, Marioni G. Deep neck infections originating from the major salivary glands. Am J Otolaryngol 2015 Jul-Aug; 36(4):559-64.
(3) Brook I. Acute bacterial suppurative parotitis: Microbiology and management. J Craniofacial Surg 2003; 14:37-40.
(4) Das R, Nath G, Mishra A. Clinico-Pathological Profile of Deep Neck Space Infection: A Prospective Study. Indian J Otolaryngol Head Neck Surg 2017 Sep; 69(3):282-290.
(5) Ozkan A, Ors CH, Kosar S, Ozisik Karaman HI. Parotid Abscess with Involvement of Facial Nerve Branches. J Coll Physicians Surg Pak. 2015 Aug; 25(8):613-4.
(6) Brito TP, Hazboun IM, Fernandes FL, Bento LR, Zappelini CEM, Chone CT, Crespo AN. Deep neck abscesses: study of 101 cases. Braz J Otorhinolaryngol 2017 May-Jun; 83(3):341-348.
(7) Gujrathi AB, Ambulgekar V, Kathait P. Deep neck space infection – A retrospective study of 270 cases at tertiary care center. World J Otorhinolaryngol Head Neck Surg 2016 Dec 22; 2(4):208-213.
(8) Kawczyński M, Amernik K, Kelar I, Jaworowska E, Paradowska-Opałka B. Zakażenia ropne głębokich przestrzeni szyi w Klinice Otolaryngologii PUM w okresie ostatnich 5 lat. Pol Przegląd Otorynolaryngol 2012; 4(1): 314-318.
(9) Kauffmann P, Cordesmeyer R, Tröltzsch M, Sömmer C, Laskawi R. Deep neck infections: A single-center analysis of 63 cases. Med Oral Patol Oral Cir Bucal 2017 Sep 1; 22(5):536-541.
(10) Alaani A, Griffiths H, Minhas SS, Olliff J, Drake Lee AB. Parapharyngeal abscess:diagnosis, complications and management in adults. Eur Arch Otorhinolaryngol 2005; 262:345-350.
(11) Seer Yee ML, et al. Predicting Neck Abscess with Contrast-Enhanced Computed Tomography. Advances in Otolaryngology 2014; 1-8.
(12) Czecior E, Pawlas P, Ścierski W, Namysłowski G, Misiołek M, Turecka L, Lisowska G, Polok A, Sowa P. Ropowica przestrzeni przygardłowej. Otolaryngol Pol 2008; LXII (4):486-488.
(13) Huang TT, Liu TC, Chen PR, Tseng FY, Yeh TH, Chen YS. Deep neck infection: analysis of 185 cases. Head Neck 2004 Oct; 26(10):854-60.

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