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Case Report
Suppurative parotitis in the setting of methicillin-resistant Staphylococcus aureus bacteremia
1 MSc, Medical Student, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
2 MD, Resident Physician, Department of Medicine, Duke University, Durham, North Carolina, USA
3 MD, Resident Physician, Department of Urology, Henry Ford Hospital, Detroit, Michigan, USA
4 MD, Associate Professor, Department of Medicine, University of Florida, Gainesville, Florida, USA
Address correspondence to:
Matthew K McCabe
Rm 4102, Shands Hospital, PO Box 100277, Gainesville, Florida,
USA
Message to Corresponding Author
Article ID: 100009Z18MM2023
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McCabe MK, Clark S, Williams E, Kalyatanda G. Suppurative parotitis in the setting of methicillin-resistant Staphylococcus aureus bacteremia. J Case Rep Images Otolaryngol 2023;4(2):1–5.ABSTRACT
Introduction: Infection by methicillin-resistant Staphylococcus aureus is an uncommon and particularly severe cause of suppurative parotitis, an inflammatory disease marked by parotid gland swelling, erythema, tenderness, and purulent discharge. To date, fewer than two dozen cases of methicillin-resistant S. aureus-induced parotitis have been documented, although this is likely an emerging causal organism.
Case Report: We report the case of an elderly male presenting for unilateral facial swelling beginning shortly after receiving multiple dental fillings. His evaluation revealed leukocytosis, parotid gland enlargement and cellulitis on computed tomography, and cultures of blood and fluid expressed from the Stensen’s duct that grew methicillin-resistant S. aureus. Despite treatment with intravenous vancomycin, the patient passed away from pneumonia less than three weeks after the onset of his symptoms.
Conclusion: Of the previously published cases that we identified, approximately one-quarter were bacteremic and a similar number were fatal. This report reviews the literature and describes the recommended treatment for cases of methicillin-resistant S. aureus-induced parotitis.
Keywords: Bacteremia, MRSA, Staphylococcus aureus, Suppurative parotitis
SUPPORTING INFORMATION
Acknowledgments
The authors would like to thank the patient’s family for graciously agreeing to have his experience shared through this publication.
Author ContributionsMatthew K McCabe - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shane Clark - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Eric Williams - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Gautam Kalyatanda - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Matthew K McCabe et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
