- Mumps is the main virus causing parotiditis, but this virus is rare today because of vaccines.
- AIDS can cause swelling and enlarged parotid glands.
- Salivary stone in the parotid gland.
- Mucus plug in a salivary duct.
- Tumor (usually benign).
- Sjögren syndrome — an autoimmune disease.
- Radiation treatment of head and neck cancer can lead to parotid gland inflammation.
- Dry mouth.
- Strange or foul taste in your mouth.
- Pus draining into the mouth.
- Mouth or facial pain, especially when you are eating or opening your mouth.
- Fever, chills, and other signs of infection.
Parotiditis Treatment:Adequate hydration and antimicrobial therapy are the main stay of treatment. Antibiotics should be administered intravenously in acute bacterial parotiditis after obtaining blood cultures. Staphylococcus aureus is the most common organism in community-acquired parotiditis and first-line antibiotic therapy should include anti-staphylococcal antibiotic (Unipen®, oxacillin, AncefTM, etc). MRSA coverage should be considered if the patient has a history of recurrent cutaneous MRSA abscesses, residence in a Nursing home with endemic MRSA, or other predisposing condition. For healthcare-associated parotiditis, broad spectrum antibiotics are recommended. Cefoxitin, imipenem, InvanzTM, the combination of a penicillin plus beta-lactamase (amoxicillin/clavulanate, ampicillin/sulbactam) will provide adequate coverage. However, the presence of MRSA may mandate the use of vancomycin, Zyvox™, or Cubicin™. The presence of associated dental infection warrants anaerobic coverage. In penicillin allergic patients, clindamycin is an alternative option.Treatment should be adjusted based on culture results and presence or absence of bacteremia. Standard therapy is 10 to 14 days, likely longer in the presence of bacteremia. Surgical drainage and decompression of the gland are occasionally required if spontaneous drainage does not occur. Therapy for chronic parotiditis should initially be conservative. Parotidectomy may eventually be required for people with long-standing infection. Good oral hygiene, adequate hydration, and early therapy for bacterial infections of the oropharynx are helpful measures for preventing acute bacterial parotiditis.NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
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