suppurative mumps
Introduction
Introduction Acute purulent parotitis has been common in large abdominal surgery, so it is also known as postoperative parotitis, which is one of the serious complications. Due to the development of antibiotic applications and attention to maintaining normal access and water and electrolyte balance, it is currently rare. In addition to this, acute inflammatory patients with parotid glands are still seen. The initial symptoms of acute suppurative parotitis are mainly pain, which gradually causes swelling of the parotid gland with the earlobe as the center. The ductal opening of the parotid gland can be red and swollen, and the mouth of the parotid gland with compression and swelling can discharge purulent or inflammatory secretions. If the infection is not treated in time, the glandular tissue will be necrotic, spread to the entire parotid gland tissue and spread to surrounding tissues.
Cause
Cause
Suppurative mumps is rare. The most common pathogen caused by purulent pathogens is Staphylococcus aureus. Most of them are complicated by some patients with serious diseases (such as acute infectious diseases) or after major surgery. Normally, the parotid gland secretes a large amount of saliva through the parotid duct drainage lumen, which helps to digest and flush the self-cleaning effect. Serious illness and consumptive diseases, such as patients with acute infectious diseases or patients after thoracic and abdominal surgery, the body's resistance is reduced, the immunity of the whole body and mouth is weakened, salivary secretion is dysfunctional, and pathogenic bacteria are retrograde into the gland through the parotid duct. Acute suppurative mumps occurs. In addition, the expansion of trauma or surrounding tissue inflammation, vermiculite, scar contracture, etc. affect saliva exclusion, can also cause the disease.
Examine
an examination
The systemic response was not obvious at the beginning of inflammation. Exacerbations can cause high fever, sometimes up to 40 ° C, white blood cells, especially neutrophils. The systemic response depends mainly on the virulence of the bacteria and the condition of the patient's body.
Diagnosis
Differential diagnosis
Need to be differentiated from the symptoms:
Parotid gland enlargement:
The swelling of the parotid gland is often the first sign of the disease. It lasts for 7-10 days. The common side is swollen for 2-3 days. The contralateral parotid gland also appears swollen. Sometimes the swelling is only unilateral, or the parotid gland enlarges and the submandibular gland enlarges. Or even the submandibular glands are swollen without parotid gland enlargement. Pain, chewing, especially when eating acidic foods.
Parotid swelling:
The anterior boundary of the parotid gland is the anterior border of the mandibular branch. The posterior border is the apical apex of the sternocleidomastoid and the external auditory canal. The upper boundary is the lower edge of the zygomatic arch. The lower boundary is the lower mandibular angle or l-2 cm below the mandibular angle. There are many causes of swelling of the parotid gland, which may be diseases of the parotid gland itself, local signs of systemic diseases, or diseases of non- parotid tissues such as chewing muscles.
Painless mass of parotid gland:
Basal cell adenomas present as a painless mass of the parotid gland. The tumor grows slowly, has a long course of disease, has no symptoms, and often visits with a painless mass. The tumor has clear boundaries and no adhesion to surrounding tissues. Mostly round or oval, the texture is soft. Clinical manifestations The initial symptoms of acute suppurative parotitis are mainly pain, which gradually causes swelling of the parotid gland with the earlobe as the center. The ductal opening of the parotid gland can be red and swollen. The pressure of the parotid gland can lead to the discharge of purulent or inflammatory secretions. . If the infection is not treated in time, the glandular tissue will be necrotic, spread to the entire parotid gland tissue and spread to surrounding tissues. The initial symptoms of suppurative mumps are mainly pain, which gradually causes swelling of the parotid gland with the earlobe as the center. The mouth of the parotid gland can be red and swollen, and the mouth of the parotid gland with compression and swelling can discharge purulent or inflammatory secretions. If the infection is not treated in time, the glandular tissue will be necrotic, spread to the entire parotid gland tissue and spread to surrounding tissues. The systemic response was not obvious at the beginning of inflammation. Exacerbations can cause high fever, sometimes up to 40 ° C, white blood cells, especially neutrophils. The systemic response depends mainly on the virulence of the bacteria and the condition of the patient's body.
