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Parotitis, Acute and Chronic

Tamara L Gayle, MD, MEd, MPH Reviewed 05/2023
 


BASICS

DESCRIPTION

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

  • The parotid gland is the largest salivary gland,...

DIAGNOSIS

HISTORY

  • Acute parotitis presents with sudden-onset pain and swelling of the cheek.

    • Viral parotitis is usually bilateral and accompanied by malaise, anorexia, headaches, myalgias, ...

TREATMENT

GENERAL MEASURES

  • Usually a self-limited course. Treat with supportive care: rest, hydration, analgesia, and antipyretics.

    • Stimulate saliva production by eating hard candies.

    • Local ...

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 re-evaluated. 

DIET

REFERENCES

1
Nation J, Panuganti B, Manteghi A, et al. Pediatric Sialendoscopy for Recurrent Salivary Gland Swelling: Workup, Findings, and Outcomes. Ann Otol Rhinol Laryngol. 2019;128(4):338-344.
2
Car...

ADDITIONAL READING

Hernandez  S, Busso  C, Walvekar  RR. Parotitis and sialendoscopy of the parotid gland. Otolaryngol Clin North Am.  2016;49(2):381–393. 

CODES

ICD10

  • K11.20 Sialoadenitis, unspecified

  • K11.21 Acute sialoadenitis

  • K11.23 Chronic sialoadenitis

  • K11.22 Acute recurrent sialoadenitis

SNOMED

  • 14756005 Parotitis (disorder)

  • 240526004 Mumps parotitis

  • 235125...

CLINICAL PEARLS

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

  • S. aureus, strep, and anaerobes are the m...

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