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Article in Japanese

Acute suppurative parotitis and abscess formation due to Staphylococcus aureus bacteremia in a school-aged girl: A review of Japanese pediatric cases

Kanako MORITA, Shingo KOBARI, Kota AO, Atsushi ISOZAKI

A previously healthy 11-year-old girl presented with left submandibular pain and hemifacial swelling. Acute suppurative parotitis with abscess was diagnosed on physical examination and enhanced computerized tomography scan. Staphylococcus aureus and Streptococcus viridans on cultures of pus exuding from the Stensen duct were noted, and Staphylococcus aureus colonies also were observed on the blood culture. The girl responded well to parenteral antibiotic treatment, and the infection was resolved without severe complications. Since acute suppurative parotitis is uncommon with very few reported cases, a literature review was performed in the Japanese pediatric population. Regardless of the age group, Staphylococcus aureus was the predominant causative agent for this condition. Thus, it was concluded that performing a blood culture is important in pediatric acute suppurative parotitis.

Department of Pediatrics, Yokohama City Minato Red Cross Hospital

Key words
Received March 27, 2013
Accepted June 11, 2013

25 (3):275─280,2013