Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report

Acute parotitis is a rare condition in young infants and is characterized by swelling of the parotid gland associated with fever and pain. Staphylococcus aureus is the most common causative agent of this disease. Prevalence is higher in males. We describe the case of a 55-day-old Asian female infa...

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Main Authors: Sumaira Wajid, Wajid Hussain
Format: Article
Language:English
Published: Liaquat National Hospital and Medical College 2024-12-01
Series:Liaquat National Journal of Primary Care
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Online Access:https://journals.lnh.edu.pk/lnjpc/pdf/0a0ecc72-5023-45d4-9947-1c7cda20d8c4.pdf
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author Sumaira Wajid
Wajid Hussain
author_facet Sumaira Wajid
Wajid Hussain
author_sort Sumaira Wajid
collection DOAJ
description Acute parotitis is a rare condition in young infants and is characterized by swelling of the parotid gland associated with fever and pain. Staphylococcus aureus is the most common causative agent of this disease. Prevalence is higher in males. We describe the case of a 55-day-old Asian female infant who presented in the emergency department with complaints of fever, reluctance to feed, and irritability with unremarkable examination. During hospitalization pre-auricular edema was observed bilaterally close to the angle of the jaw along with signs of inflammation, greater on the right side. Ultrasound findings showed parotid gland enlargement and blood culture report was positive for Streptococcus pyogenes. Antibiotic treatment with injectable Vancomycin was given for 7 days and the patient had rapid recovery in terms of both symptom improvement and reduction of glandular swelling. This case illustrates the need for consideration of this disease in infants and its likelihood in both genders and emphasizes the early institution of appropriate therapy of acute parotitis for faster recovery and prevention of complications. There is much data on acute parotitis in adolescents but due to the paucity of data in young infants, there is a need to investigate further the causes and treatment of this disease in infants.
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spelling doaj-art-0cb1176794f44f5ebfea31addaa5181a2025-08-20T01:48:04ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342024-12-016328228410.37184/lnjpc.2707-3521.6.43Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case ReportSumaira Wajid0Wajid Hussain1National Institute of Child Health, Karachi, PakistanPaediatric Infectious Diseases, National Institute of Child Health, Karachi, PakistanAcute parotitis is a rare condition in young infants and is characterized by swelling of the parotid gland associated with fever and pain. Staphylococcus aureus is the most common causative agent of this disease. Prevalence is higher in males. We describe the case of a 55-day-old Asian female infant who presented in the emergency department with complaints of fever, reluctance to feed, and irritability with unremarkable examination. During hospitalization pre-auricular edema was observed bilaterally close to the angle of the jaw along with signs of inflammation, greater on the right side. Ultrasound findings showed parotid gland enlargement and blood culture report was positive for Streptococcus pyogenes. Antibiotic treatment with injectable Vancomycin was given for 7 days and the patient had rapid recovery in terms of both symptom improvement and reduction of glandular swelling. This case illustrates the need for consideration of this disease in infants and its likelihood in both genders and emphasizes the early institution of appropriate therapy of acute parotitis for faster recovery and prevention of complications. There is much data on acute parotitis in adolescents but due to the paucity of data in young infants, there is a need to investigate further the causes and treatment of this disease in infants.https://journals.lnh.edu.pk/lnjpc/pdf/0a0ecc72-5023-45d4-9947-1c7cda20d8c4.pdfinfantsacute parotitispre-auricular edemagroup b streptococcus
spellingShingle Sumaira Wajid
Wajid Hussain
Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report
Liaquat National Journal of Primary Care
infants
acute parotitis
pre-auricular edema
group b streptococcus
title Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report
title_full Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report
title_fullStr Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report
title_full_unstemmed Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report
title_short Group B Streptococcal Septicaemia Causing Bilateral Acute Parotitis in an Infant: A Rare Case Report
title_sort group b streptococcal septicaemia causing bilateral acute parotitis in an infant a rare case report
topic infants
acute parotitis
pre-auricular edema
group b streptococcus
url https://journals.lnh.edu.pk/lnjpc/pdf/0a0ecc72-5023-45d4-9947-1c7cda20d8c4.pdf
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