Neonatal acute suppurative parotitis. Case report

Abstract

Introduction: Neonatal acute suppurative parotitis is a rare condition, usually associated with factors such as prematurity, low weight, dehydration, among others, the main reported infectious agent is Staphylococcus aureus. Case description: A 20-day-old male newborn presented with an increase in volume in the left maxillary region that had been developing for 3 days and a fever of 39°C. On physical examination, irritable, with hyporexia and inflammatory changes that compromised adequate suction/swallowing, pain on palpation and purulent discharge through the Stenon's duct on the left side. Birth history: Born via cesarean section, 39 weeks of gestation, weight 3900 grams. Ultrasonography: Inflammatory changes and enlargement of the left parotid gland. Hematologic analysis reported monocytosis (10.7%, reference value 2-8) and lymphocytosis (52.1%, reference value 25-40). Inflammatory markers procalcitonin 0.260 ng/mL (Low risk of progression to sepsis), Erythrocyte sedimentation rate 7mm/h (normal, reference value 0-13), C-reactive protein 19.40 mg/L (elevated, reference value 1.00-5.00), Secretion culture: Staphylococcus aureus, sensitive to clindamycin. Management in the newborn nursery with intravenous clindamycin at 10 milligrams/kilogram/ dose every 8 hours for 7 days, with satisfactory clinical evolution. Conclusions: This case of a newborn with acute suppurative parotitis caused by Staphylococcus aureus; the underlying cause could not be determined; however, management was successful with intravenous clindamycin, without complications. The authors recommend establishing suspicion in newborns who present with swelling in the maxillary region and fever, with or without risk factors.