Neonatal Suppurative Parotitis: Case Report and Review of Literature.
Malika El Omri, Safaa Jemli, Mouna Belakhdher et al.
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Case in brief
A 21-day-old girl presented with fever and a firm, red, tender swelling over the right parotid region, displacing the earlobe outward. Purulent material was seen emerging from Stensen’s duct. CT showed an enlarged right parotid gland with heterogeneous density and enhancement, but no collection. She received intravenous antibiotics for 48 hours and improved without surgical intervention.
What made this case unusual
Despite the marked inflammatory swelling and purulent ductal discharge, CT showed no detectable collection, and the case resolved with medical treatment alone.
Diagnostic / clinical pearl
In a newborn with inflammatory preauricular swelling, purulent discharge from Stensen’s duct supports suppurative parotitis; imaging may show gland inflammation without a drainable collection.