IPC

PAROTITIS
 What is Parotitis ?
Parotitis is a polyetiological
inflammation of the parotid
salivary gland clinically
manifested by one or two
sided painful swelling in the
parotid region of the face,
and accompanied by
disturbances of salivation.

Zdorov’e rebenka. 2018. Clinical case of recurrent parotitis in a child. Discussion of

causes vol 13(3):311-316. Випадок із практики / Case Report
 Acute Protitis

Acute inflammation of the

parotid gland is most commonly
caused by infections Chronic Protitis

Chronic inflammation of
the parotid gland is most
commonly caused by
several different
processes: autoimmune,
recurrent infectious,
systemic, and neoplastic.

Inarejos Clemente et al.2018. Imaging Evaluation of Pediatric Parotid Gland

Abnormalities Volume 38 Number 5. Radiographics.rsna.org

Acute Parotitis
Acute parotitis tends to
manifest with painful facial
swelling and tenderness at
the angle of the mandible
and may be associated
with fever and leukocytosis
Clinical
Manifestation
Chronic Parotitis
Chronic parotitis manifests as facial
swelling and recurrent episodes
of parotitis. Clinically, chronic
inflammation of the parotid gland
most frequently manifests as
repeated episodes of acute
sialadenitis with associated painful
swelling of the involved gland, with
intervals characterized by reduction
of symptoms and decrease of gland
size

Inarejos Clemente et al.2018. Imaging Evaluation of Pediatric Parotid Gland

Abnormalities Volume 38 Number 5. Radiographics.rsna.org
 Acute Parotitis Etio
logy
The causative agent of epidemic parotitis is a
member of the paramyxovirus group, which also
includes viruses parainfluenza, measles, and
newcastle virus disease.
Size of the particles paramyxovirus of 90 – 300
mµ. This virus has two components which are: able
to fix, namely: antigen S or soluble derived from
nucleocapsid and V antigen derived from surface
hemagglutinin.
This virus is active in a dry environment but this
virus can only last for 4 days on room temperature.
Paramyxovirus can be destroyed at <4 C, by
formalin, ether, and exposure to ultraviolet light for
30 seconds

Inarejos Clemente et al.2018. Imaging Evaluation of Pediatric Parotid Gland

Abnormalities Volume 38 Number 5. Radiographics.rsna.org
Inarejos Clemente et al.2018. Imaging Evaluation of Pediatric Parotid Gland Abnormalities Volume 38
Number 5. Radiographics.rsna.org
 Case Study
A 16 year old pediatric patient came with
complaints of a Parotitis for 9 days with a
throbbing pain to eat, pain when
swallowing and difficulty sleeping. Weight
47,5 kg.
Diagnosa : Parotitis Sinistra
Treatment : -Isoprinosin
-Ibuprofen
-Tiamcinolon
Drug History : -Dexteem plus
-Salbutamol
 Subject SOAP
Parotitis for 9 days with a
throbbing pain to eat,
pain when swallowing
and difficulty sleeping
Object

Weight : 47,5 kg
 Assesment
Parotitis Sinistra

Plan

-Isoprinosin
-Ibuprofen
-Tiamcinolon
-Non pharmacologycal
Government of Western Australia. 2019. Publict Health
Management of Mumps Outbreak Guideline. WA Country Health
Service
Germaine L Defendi, et al. 2019. Mumps Treatment & Management.
Associate Clinical Professor, Department of Pediatrics, Olive View-UCLA
Medical Center
 PREVENTIVE

Measles-mumps-rubella vaccine, live (MMR)

Live virus vaccine. Combined MMR vaccine is
recommended for the prevention of mumps,
measles, and rubella. For children, the typical
recommended 2-dose schedule is administered
at age 12-15 months for the 1st dose and age 4-6
years for the second dose.

Germaine L Defendi, et al. 2019. Mumps Treatment & Management.

Associate Clinical Professor, Department of Pediatrics, Olive View-
UCLA Medical Center
 NON PHARMACOLOGICAL TREATMENT

o Encouraging oral fluid intake is essential, as maintenance

of adequate hydration
o Refrain from acidic foods and liquids as they may cause
swallowing difficulty, as well as gastric irritation.
o Avoidance of acidic foods (egg, tomato, vinegar-containing
food additives) and liquids (egg, orange juice) is beneficial
to lessen oral pain and discomfort.
o Topical application of warm or cold packs to the swollen
parotid area may soothe the region.
o Bed rest, scrotal support, and ice packs are recommended.

Germaine L Defendi, et al. 2019. Mumps Treatment & Management.

Associate Clinical Professor, Department of Pediatrics, Olive View-
UCLA Medical Center
Thank You