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Parotitis, Acute and Chronic

Jeanne R. Delgado, MD and Kathy Ferrer, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Parotitis is inflammation of the parotid gland caused by infection, noninfectious systemic illnesses, mechanical obstruction, or medications.

  • Can be unilateral or bilateral, acute or ...

DIAGNOSIS

HISTORY

  • Acute parotitis presents with sudden-onset pain and swelling of the cheek typically extending to and obscuring the angle of the mandible.

    • Viral parotitis is usually bilateral and accom...

TREATMENT

GENERAL MEASURES

  • Usually a self-limiting course that requires supportive treatment with rest, adequate hydration, analgesia, and antipyretics

    • Can stimulate glands to produce saliva by sucking ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Antibiotic therapy for bacterial parotitis combined with adequate hydration should result in improvement within 48 hours; if not, patient should be reevaluated. 

DIET

REFERENCES

1
Cardemil CV, Dahl RM, James L, et al. Effectiveness of a third dose of MMR vaccine for mumps outbreak control. N Engl J Med.  2017;377(10):947–956. [View Abstract on OvidMedline]
2
O’Ne...

ADDITIONAL READING

  • Armstrong MA, Turturro MA. Salivary gland emergencies. Emerg Med Clin North Am.  2013;31(2):481–499. [View Abstract on OvidMedline]

  • Brook I. The bacteriology of salivary gland i...

CODES

ICD10

  • K11.20 Sialoadenitis, unspecified

  • K11.21 Acute sialoadenitis

  • K11.23 Chronic sialoadenitis

  • K11.22 Acute recurrent sialoadenitis

ICD9

  • 527.2 Sialoadenitis

  • 072.9 Mumps without mention of complication

SNOMED

CLINICAL PEARLS

  • History and physical exam are usually sufficient for diagnosis (parotid swelling and tenderness with or without purulent drainage from the Stensen duct).

  • In recurrent or chronic cases, ...

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