Salivary disorders (PEARLS)
| Sialadenitis |
Sialadenitis is a bacterial infection of a salivary gland usually caused by sialolithiasis which is an obstructing stone in the salivary gland
- Acute swelling of the cheek which worsens with meals
- etiology: S. aureus
- Diagnose with CT, ultrasonography, or MRI
TX: Dicloxacillin, 1st gen cephalosporin, or clindamycin, symptomatic: hydration, sialalogues |
| Parotitis (ReelDx) |
Mumps is caused by paramyxovirus. Likely in a child without a complete vaccination series
- Typically, it begins with a few days of fever, headache, myalgia, fatigue, and anorexia, followed by parotitis; the illness is usually self-limited
- In adult males look for an associated orchitis
- Viral infections associated with parotitis include influenza A virus, parainfluenza, adenovirus, coxsackievirus, Epstein-Barr virus (EBV), cytomegalovirus, herpes simplex virus, human immunodeficiency virus (HIV), and lymphocytic choriomeningitis virus
TX: Self-limiting treat with hydration and rest
- Vaccination is effective for prevention
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