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{{Parotitis}}
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


{{Infobox_Disease |
{{CMG}}; {{AE}} {{LRO}} {{KS}} {{Faizan}}
  Name          = {{PAGENAME}} |
  Image          = Mumps virus.jpg|
  Caption        = Mumps virus|
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  ICD10          = |
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  eMedicineSubj  = |
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{{Parotitis}}
{{CMG}}


{{SK}} Parotiditis; Acute viral parotitis; Acute bacterial parotitis; Acute suppurative parotitis; Juvenile recurrent parotitis; Pneumoparotitis
==[[Parotitis overview|Overview]]==
==[[Parotitis overview|Overview]]==


==[[Parotitis epidemiology and demographics|Epidemiology & Demographics]]==
==[[Parotitis historical perspective|Historical Perspective]]==


==[[Parotitis pathophysiology|Pathophysiology]]==
==[[Parotitis pathophysiology|Pathophysiology]]==


== Diagnosis ==
==[[Parotitis causes|Causes]]==
==[[Parotitis history and symptoms|History & Symptoms]]==
 
The diagnosis is a clinical one. Imaging is usually reserved to assess for a complication such as abscess formation, invasion of the deep neck spaces, [[mediastinitis]], jugular vein thrombosis or [[osteomyelitis]] of the [[mandible]]. Local invasion of the [[temporomandibular joint]] (TMJ) and [[thrombophlebitis]] of the retromandibular and facial veins have also been noted. [[Facial nerve]] dysfunction is rare and usually transient if the infection is treated. More prolonged palsy suggests neoplasm. Because of the underlying debility, the most worrisome complications are systemic and [[sepsis]] can rapidly develop. Chronic recurrent parotitis can occur as a separate entity or secondary to ductal stenosis from initial infection.
==[[Differentiating parotitis from other diseases|Differentiating Parotitis from other Diseases]]==
 
==[[Parotitis epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Parotitis risk factors|Risk Factors]]==
 
==[[Parotitis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


== Treatment ==
==Diagnosis==
==[[Parotitis medical therapy|Medical Therapy]]==
[[Parotitis history and symptoms|History and Symptoms]] | [[Parotitis physical examination|Physical Examination]] | [[Parotitis laboratory findings|Laboratory Findings]] | [[Parotitis CT or MRI|CT or MRI]]
The treatment of viral parotitis is largely supportive. Bacterial parotitis is targeted toward gram positive and anaerobic organisms.  70% of those cultured are beta-lactamase producers so Augmentin is recommended. Antistaphylococcal penicillins are also advocated.  Some suggest the addition of metronidazole or clindamycin. Systemic symptoms or failure to improve in 48 hrs warrants IV therapy and consideration of additional coverage for GNR. Adjunctive therapy with warm compresses, mouth irrigation, administration of sialagogues (lemon drops) and bimanual massage of the gland intraorrally and externally can be employed. 


Surgery is referred for recalcitrant infections, abscess drainage and to obtain tissue if a noninfectious cause is suspected.   
==Treatment==
[[Parotitis medical therapy|Medical Therapy]] | [[Parotitis surgery|Surgery]] | [[Parotitis primary prevention|Primary Prevention]] | [[Parotitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Parotitis future or investigational therapies|Future or Investigational Therapies]]


== References ==
==Case Studies==
{{Reflist}}
[[Parotitis_case_study one|Case study #1]]


[[ro:Parotidita Acută]]
[[ro:Parotidita Acută]]
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Latest revision as of 18:38, 18 September 2017

Parotitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Parotitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT or MRI

Treatment

Medical Therapy

Surgery

Primary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Parotitis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Parotitis

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Parotitis

CDC on Parotitis

Parotitis in the news

Blogs on Parotitis

Directions to Hospitals Treating Parotitis

Risk calculators and risk factors for Parotitis

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S. Kiran Singh, M.D. [2] Faizan Sheraz, M.D. [3]

Synonyms and keywords: Parotiditis; Acute viral parotitis; Acute bacterial parotitis; Acute suppurative parotitis; Juvenile recurrent parotitis; Pneumoparotitis

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Parotitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT or MRI

Treatment

Medical Therapy | Surgery | Primary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case study #1

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