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Acute Parotitis
Carmen C. Cho, MBBS, FRCR; Eunice Y. L. Dai, MBBS, FRCR; Anil T. Ahuja, MD, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        TERMINOLOGY

        • Synonyms

          • Acute sialadenitis
        • Definitions

          • Acute inflammation of parotid gland (4 types)
            • Bacterial: Localized infection may become suppurative with central abscess
            • Viral: Usually from systemic viral infection
            • Calculus induced: Ductal obstruction by sialolith
            • Autoimmune: Acute episode of chronic disease

        IMAGING

        • General Features

          • Ultrasonographic Findings

            • CT Findings

              • MR Findings

                • Other Modality Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Sodhi KS et al: Role of high resolution ultrasound in parotid lesions in children. Int J Pediatr Otorhinolaryngol. 75(11):1353-8, 2011
                                      2. Cascarini L et al: Epidemiology of salivary gland infections. Oral Maxillofac Surg Clin North Am. 21(3):353-7, 2009
                                      3. Saarinen RT et al: Cases presenting as parotid abscesses in children. Int J Pediatr Otorhinolaryngol. 71(6):897-901, 2007
                                      4. Shanley JD: The resurgence of mumps in young adults and adolescents. Cleve Clin J Med. 74(1):42-4, 47-8, 2007
                                      5. Spiegel R et al: Acute neonatal suppurative parotitis: case reports and review. Pediatr Infect Dis J. 23(1):76-8, 2004
                                      6. Brook I: Acute bacterial suppurative parotitis: microbiology and management. J Craniofac Surg. 14(1):37-40, 2003
                                      7. Fattahi TT et al: Management of acute suppurative parotitis. J Oral Maxillofac Surg. 60(4):446-8, 2002
                                      8. Mandel L et al: Bilateral parotid swelling: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 93(3):221-37, 2002
                                      9. Yousem DM et al: Major salivary gland imaging. Radiology. 216(1):19-29, 2000
                                      10. McQuone SJ: Acute viral and bacterial infections of the salivary glands. Otolaryngol Clin North Am. 32(5):793-811, 1999
                                      11. Pang YT et al: Acute suppurative parotitis and facial paralysis. J Laryngol Otol. 110(1):91-2, 1996
                                      12. Nusem-Horowitz S et al: Acute suppurative parotitis and parotid abscess in children. Int J Pediatr Otorhinolaryngol. 32(2):123-7, 1995
                                      13. Brook I: Diagnosis and management of parotitis. Arch Otolaryngol Head Neck Surg. 118(5):469-71, 1992
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            TERMINOLOGY

                                            • Synonyms

                                              • Acute sialadenitis
                                            • Definitions

                                              • Acute inflammation of parotid gland (4 types)
                                                • Bacterial: Localized infection may become suppurative with central abscess
                                                • Viral: Usually from systemic viral infection
                                                • Calculus induced: Ductal obstruction by sialolith
                                                • Autoimmune: Acute episode of chronic disease

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Other Modality Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Sodhi KS et al: Role of high resolution ultrasound in parotid lesions in children. Int J Pediatr Otorhinolaryngol. 75(11):1353-8, 2011
                                                                          2. Cascarini L et al: Epidemiology of salivary gland infections. Oral Maxillofac Surg Clin North Am. 21(3):353-7, 2009
                                                                          3. Saarinen RT et al: Cases presenting as parotid abscesses in children. Int J Pediatr Otorhinolaryngol. 71(6):897-901, 2007
                                                                          4. Shanley JD: The resurgence of mumps in young adults and adolescents. Cleve Clin J Med. 74(1):42-4, 47-8, 2007
                                                                          5. Spiegel R et al: Acute neonatal suppurative parotitis: case reports and review. Pediatr Infect Dis J. 23(1):76-8, 2004
                                                                          6. Brook I: Acute bacterial suppurative parotitis: microbiology and management. J Craniofac Surg. 14(1):37-40, 2003
                                                                          7. Fattahi TT et al: Management of acute suppurative parotitis. J Oral Maxillofac Surg. 60(4):446-8, 2002
                                                                          8. Mandel L et al: Bilateral parotid swelling: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 93(3):221-37, 2002
                                                                          9. Yousem DM et al: Major salivary gland imaging. Radiology. 216(1):19-29, 2000
                                                                          10. McQuone SJ: Acute viral and bacterial infections of the salivary glands. Otolaryngol Clin North Am. 32(5):793-811, 1999
                                                                          11. Pang YT et al: Acute suppurative parotitis and facial paralysis. J Laryngol Otol. 110(1):91-2, 1996
                                                                          12. Nusem-Horowitz S et al: Acute suppurative parotitis and parotid abscess in children. Int J Pediatr Otorhinolaryngol. 32(2):123-7, 1995
                                                                          13. Brook I: Diagnosis and management of parotitis. Arch Otolaryngol Head Neck Surg. 118(5):469-71, 1992