Paeds Cases · ent-hearing-and-oral-health
Salivary gland disorders — structured clinical encounter
Structured encounter testing the approach to an under-immunised child with bilateral tender parotid swelling: the diagnosis of mumps, the supportive management, the five-day exclusion, and the complications including orchitis, meningitis and pancreatitis, with a pivot to a child with recurrent unilateral parotid swelling requiring the diagnosis and management of juvenile recurrent parotitis.
On this page
Study tools
Target exams
Candidate brief
You are the paediatric registrar in the emergency department. A five-year-old boy whose parents declined vaccinations has two days of fever at 38.8 degrees Celsius, malaise and progressive bilateral cheek swelling. The parotid glands are enlarged and tender bilaterally, the ear lobes are pushed outward and forward, and the Stensen duct orifice is inflamed but expresses no frank pus. He has no testicular pain, neck stiffness or abdominal pain. [1]
References4ShowHide
- [1]Hviid A; Rubin S; Mühlemann K Mumps. Lancet, 2008.PMID 18342688
- [3]Wood J; Toll EC; Gregory S; Little C Juvenile recurrent parotitis: Review and proposed management algorithm. Int J Pediatr Otorhinolaryngol, 2021.PMID 33421670
- [5]Soriano-Martín D; García-Consuegra L; Peña-García P; et al Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review. J Otolaryngol Head Neck Surg, 2023.PMID 37598195
- [9]Mori T; Shimomura R; Himoto S; et al Neonatal suppurative parotitis: Case reports and literature review. Pediatr Int, 2022.PMID 33955624