摘要
Introducción: La fístula salival es la comunicaciónde la glándula salival o el conducto parotídeo hacia la piel,debido a una lesión traumática del parénquima o del conducto deexcreción; no suele ser una complicación frecuente en parotiditisaguda. El objetivo de este trabajo es destacar la presentaciónatípica de un caso de parotiditis bacteriana asociado a fistulasalival hacia el conducto auditivo externo y cavidad oral, y aparálisis facial periférica. Caso clínico: Paciente masculino de15 años de edad, quien consulta por otalgia y otorrea derechaasociado a aumento de volumen en región parotídea ipsilateralde 5 días de evolución. Al examen físico se evidencia, caraasimétrica con desviación de comisura labial hacia la izquierda ycierre palpebral completo sin esfuerzo, con aumento de volumende parótida derecha con signos de flogosis, otorrea purulentaderecha . solución de continuidad en tercio medio de pisode conducto auditivo externo. Ecosonograma de piel y partesblandas, reveló cambios inflamatorios en glándula parótida concolección de 112 cc., Los hallazgos tomográficos de oído medioy mastoides corroboraron hallazgos del ecosonograma. se realizódrenaje quirúrgico del absceso y se trató con Clindamicina600 mg vía endovenosa cada 6 horas y Penicilina Cristalina200 mg/kg/ peso cada 6 horas y su evolución fue satisfactoria.Conclusión:Los abscesos parotídeos pueden presentarse demanera atípica o en raras ocasiones con drenaje a través delconducto auditivo externo(AU)
Introduction: Salivary fistula is the communicationof the salivary glands or the parotid duct to the skin, due toa traumatic injury to the parenchyma or the excretion duct; Itis not usually a frequent complication in acute parotitis. the eobjective of this work is to highlight the atypical presentation of acase of bacterial parotitis associated with salivary fistula towardsthe external auditory canal and oral cavity, and peripheralfacial paralysis. Clinical case: A 15-year-old male patient, whoconsulted due to otalgia and right otorrhea associated with anincrease in volume in the ipsilateral parotid region of 5 days ofevolution. On physical examination, an asymmetrical face withdeviation of the lip corner to the leth and complete palpebralclosure without effort, with increased volume of the rightparotid gland with signs of phlogosis, right purulent otorrhea and continuity solution in the middle third of the external auditory canal are evident. Ultrasound of the skin and so the tissues revealed inflammatory changes in the parotid glands with a collection of 112 cc. yhe tomographic findings of the middle ear and mastoids corroborated the findings of the echosonogram; Surgical drainage of the abscess was performed and he was treated with clindamycin 600 mg intravenously every 6 hours and crystalline penicillin 200 mg/kg/weight every 6 hours, and his evolution was satisfactory. Conclusion: Parotid abscesses can present atypically or rarely with drainage through the external auditory canal(AU)
Subject(s)
Humans , Male , Adolescent , Parotitis , Salivary Gland Fistula , Ear Canal , Parotid Gland , Physical Examination , Clindamycin , Abscess , Ear , Parenchymal Tissue摘要
La parotiditis es un infección viral producida por el virus parotídeo. Clínicamente se caracteriza por aumento de volumen de la glándula parótida generalmente bilateral. La estrategia que ha mostrado ser más eficaz para la prevención de esta infección ha sido la implementación de la vacuna tres vírica en los programas de inmunización. En países con población altamente inmunizada como Chile, se logró una importante disminución de la incidencia de esta enfermedad. Sin embargo, a pesar de la efectividad de la vacuna se siguen reportando brotes en todo el mundo, evidenciándose un cambio epidemiológico, trasladándose la edad de presentación clínica desde la niñez y adolescencia hacia los adultos jóvenes. Este aumento en el número de casos ha sido estudiado, determinando que el efecto protector inmunitario de la vacuna decaería con el transcurso del tiempo, contribuyendo a la propagación de los brotes. Con respecto a posibles estrategias para el manejo de los brotes la aplicación de una dosis adicional de la vacunas tres vírica en población expuesta sería una medida que mejoraría el control de los brotes.
Mumps is a viral infection caused by mumps virus. Clinically, it is characterized by increased parotid volume. The most effective strategy for preventing this infection, has been the implementation of measles-mumps-rubella (MMR) vaccine in the national immunization program. Among countries with a highly immunized population, like Chile, there has been an important reduction in the incidence of this disease. Nevertheless, despite the effectivity of the MMR, there are reports of outbreaks worldwide, with an epidemiological change, from clinical presentation in childhood, to adolescents and adults. This outbreaks have been studied, and it has been determined that they are due to the waning of vaccine-derived immunity. Regarding strategies for the management of new outbreaks, the administration of an additional dose of MMR, would be an alternative.
Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Parotitis/epidemiology , Mumps Vaccine/therapeutic use , Disease Outbreaks/prevention & control , Immunization Programs , Measles-Mumps-Rubella Vaccine/administration & dosage , Mumps virus摘要
Abstract Introduction Diseases of the salivary glands are rare in children and adolescents, with the exception of viral-induced infections. Objective To determine the clinical course of the disease, the diagnostic procedures, the treatment and the outcome of all children and adolescents affected with salivary gland diseases at our clinic over a period of 15 years. Methods A retrospective chart review including a long-term follow-up was conducted among 146 children and adolescents treated for salivary gland disorders from 2002 to 2016. Results Diagnosing acute sialadenitis was easily managed by all doctors regardless of their specialty. The diagnosis of sialolithiasis was rapidly made only by otorhinolar- yngologists, whereas diagnosing juvenile recurrent parotitis imposed difficulties to doctors of all specialties - resulting in a significant delay between the first occurrence of symptoms and the correct diagnosis. The severity-adjusted treatment yielded improve- ments in all cases, and a full recovery of 75% of the cases of sialolithiasis, 73% of the cases of juvenile recurrent parotitis, and 100% of the cases of acute sialadenitis. Conclusions Due to their low prevalence and the lack of pathognomonic symptoms, salivary gland diseases in children and adolescents are often misdiagnosed, resulting in an unneces- sarily long period of suffering despite a favorable outcome following the correct treatment.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Salivary Gland Diseases/diagnosis , Salivary Gland Diseases/pathology , Salivary Gland Diseases/therapy , Salivary Gland Diseases/epidemiology , Parotitis/epidemiology , Sialadenitis/epidemiology , Magnetic Resonance Spectroscopy , Salivary Gland Calculi/epidemiology , Tomography, X-Ray Computed , Medical Records , Incidence , Prevalence , Retrospective Studies , Longitudinal Studies , Ultrasonography , Biopsy, Fine-Needle , Germany摘要
Objetivo: realizar una revisión, descripción y análisis de los estudios y reportes de casos con información sobre la posible relación existente entre las manifestaciones orales y maxilofaciales reportadas y la COVID-19. Métodos: se revisaron 16 publicaciones realizadas en bases de datos de Pubmed, Science Direct, Google Académico, ProQuest, Medline Complete y Nature. Los términos de búsqueda empleados fueron COVID-19 y oral manifestations, relacionados en la ecuación de búsqueda con el conector booleano "AND". Resultados: 22 casos de pacientes que presentaron manifestaciones orofaciales asociadas a la COVID-19. La distribución entre mujeres y hombres fue similar con porcentajes de 45,5% y 54,5%, respectivamente. Diagnóstico de la COVID-19 positivo en un 86,4% y sospechoso de infección en un 13,6%. La ubicación más frecuente de lesiones fue en mucosa masticatoria (31,3%), mucosa de revestimiento (28,1%) y lengua (15,6%). A nivel facial, 25% de los reportes evaluados informaron lesiones. El edema retromandibular, en el 23,8 % de los casos evaluados, y las úlceras en mucosa oral, en el 28,6%, fueron el tipo más frecuente de lesiones. Conclusiones: las manifestaciones orales y maxilofaciales en pacientes con COVID-19 han sido reportadas en algunas publicaciones; las más frecuentes han sido las relacionadas con edema retromandibular (parotiditis) y úlceras. Se sugiere una posible asociación de dichas manifestaciones con la infección por SARS-CoV-2 o con coinfecciones o comorbilidades del paciente, administración de medicamentos, estancia hospitalaria en UCI o ventilación mecánica. Aunque los reportes son pocos, estos pueden servir como pauta para futuros estudios que permitan esclarecer esta relación.
Objective: to carry out a review, description and analysis of the studies and case reports with information on the possible relationship between reported oral and maxillofacial manifestations and COVID-19. Methods: 16 publications made in databases of Pubmed, Science Direct, Google Scholar, ProQuest, Medline Complete and Nature were reviewed. The search terms used were COVID-19 and oral manifestations, related in the search equation with the Boolean connector "AND". Results: 22 cases of patients who presented orofacial manifestations associated with COVID-19. The distribution between women and men was similar with percentages of 45.5% and 54.5%, respectively. COVID-19 diagnosis positive in 86.4% and suspected of infection in 13.6%. The most frequent location of lesions was masticatory mucosa (31.3%), lining mucosa (28.1%) and tongue (15.6%). At the facial level, 25% of the evaluated reports reported injuries. Retromandibular edema in 23.8% of the cases evaluated and ulcers in the oral mucosa in 28.6% were the most frequent type of lesions. Conclusions:oral and maxillofacial manifestations in patients with COVID-19 have been reported in some publications; the most frequent have been those related to retromandibular edema (parotitis) and ulcers. A possible association of these manifestations with SARS-CoV-2 infection or with co-infections or comorbidities of the patient, administration of medications, hospital stay in ICU or mechanical ventilation is suggested. Although the reports are few, they can serve as a guideline for future studies to clarify this relationship.
Subject(s)
Humans , Oral Manifestations , Coronavirus Infections , Parotitis , Ulcer , Wounds and Injuries , Diagnosis , Coinfection摘要
Resumen Introducción: La parotiditis es una enfermedad vírica aguda caracterizada por tumefacción y dolor en una o ambas glándulas salivales, submaxilar o submentoniana, fiebre, dolor de cabeza, dolor muscular y/o fatiga. Objetivos Investigar la ocurrencia de infección por el virus influenza en casos de parotiditis en una población de Santa Fe, durante 2017 y analizar las características clínicas y epidemiológicas de los casos. Materiales y Métodos: Se estudiaron pacientes con diagnóstico de parotiditis, que acudieron a la consulta desde la semana 26 en la red de médicos que forman la Unidad Centinela de Influenza en Santa Fe. Resultados: Entre las semanas epidemiológicas 26 y 44, se incluyeron 22 casos de parotiditis clínica. El virus influenza se detectó en 68,2%, influenza A (H3N2) 93% e influenza B 7%. Los síntomas clínicos de los casos fueron leves, con una tumefacción de cinco días y sin complicaciones. El 74% presentó una enfermedad tipo influenza en conjunto con la parotiditis. Conclusiones: Este estudio evidencia que niños que presentaban parotiditis tenían una infección por el virus de la influenza A (H3N2). Es necesario implementar una vigilancia sistemática de las parotiditis asociadas con influenza y el diagnóstico diferencial, incluso en ausencia de síntomas respiratorios.
Background: Parotitis is an acute viral disease characterized by swelling and pain in one or both salivary glands, submaxillary or submental, fever, headache, muscle ache and/or fatigue. Aim: To investigate the occurrence of influenza virus infection in parotitis cases in a population of Santa Fe during 2017 and analyze clinical and epidemiological characteristics of the cases. Methods: We studied patients with diagnosis of mumps without age restriction, who came for examination from week 26 to the network of clinicians forming the Sentinel Influenza Unit in Santa Fe. Results: Between epidemiological weeks 26 and 44, 22 clinical parotitis cases we enrolled. The influenza virus was detected in 68.2%, influenza A (H3N2) 93%, and influenza B, 7%. The clinical signs of cases were mild, with an average swelling development of 5 days and no complications. 74% presented with influenza-like illness in tandem with parotitis. Conclusions: This study provides evidence that a proportion of children presenting with parotitis had influenza A(H3N2) virus infection. It is necessary to implement systematic surveillance of parotitis associated with influenza and differential diagnosis even in the absence of respiratory symptoms.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Young Adult , Parotitis/epidemiology , Parotitis/virology , Influenza, Human/virology , Argentina/epidemiology , Seasons , Diagnosis, Differential摘要
En las meningoencefalitis de etiología viral se encuentran implicados los paramixovirus (virus de la parotiditis, sarampión y rubeola). Las vacunas combinadas trivalentes han sido utilizadas durante años en muchos países. El objetivo del trabajo es determinar la respuesta poliespecífica de anticuerpos de tipo IgG anti parotiditis, rubeola y sarampión en pacientes pediátricos con meningoencefalitis víricas agudas. Se realizó un estudio retrospectivo en el año 2018 en muestras de pacientes pediátricos con meningoencefalitis viral aguda vacunados con la triple viral, donde se utilizó el índice de anticuerpos específicos anti-parotiditis, anti-rubeola y anti-sarampión para identificar el estado de respuesta inmunológica contra dichos virus en la muestra estudiada, procedentes de la serorraquioteca de LABCEL. Las determinaciones se hicieron por ELISA. Todos los pacientes presentaron respuesta poliespecífica intratecal, disminución significativa del índice de anticuerpos IgG anti-parotiditis con respecto a la edad y al tiempo de respuesta. Se evidencia un acortamiento del tiempo de respuesta de los anticuerpos de tipo IgG específicos anti-parotiditis en relación a la edad de vacunación(AU)
Paramixovirus like mumps, rubella and measles are involved in some viral meningoencephalitis. Triple combined vaccines have been employed for several years in many countries. The aim of this work is to determine the IgG anti mumps, rubella and measles polyspecific response in pediatric patients with acute viral meningoencephalitis. A 2018 retrospective study in pediatric patients with acute viral meningoencephalitis previously vaccinated with the triple viral vaccine MMR was performed to identify the immune response status against mumps, rubella and measles in samples from LABCEL serum and cerebrospinal fluid collection. Quantification of IgG specific antibody was performed by ELISA. Intrathecal polyspecific response was present in all patients. A significant decrement of anti IgG mumps specific antibody index was observed according to age and response time. A shortage of the response time of IgG mumps specific antibodies according to the age of vaccination was demonstrated(AU)
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Parotitis/prevention & control , Rubella Vaccine/therapeutic use , Vaccines/therapeutic use , Measles/prevention & control , Meningoencephalitis/etiology , Retrospective Studies , Cuba摘要
Abstract Introduction chronic parotitis (CP) is a hindering, recurring inflammatory ailment that eventually leads to the destruction of the parotid gland. When conservative measures and sialendoscopy fail, parotidectomy can be indicated. Objective to evaluate the efficacy and safety of parotidectomy as a treatment for CP unresponsive to conservative therapy, and to compare superficial and near-total parotidectomy (SP and NTP). Methods retrospective consecutive case series of patients who underwent parotidectomy for CP between January 1999 and May 2012. The primary outcome variables were recurrence, patient contentment, transient and permanent facial nerve palsy and Frey syndrome. The categorical variables were analyzed using the two-sided Fisher exact test. Alongside, an elaborate review of the current literature was conducted. Results a total of 46 parotidectomies were performed on 37 patients with CP. Neartotal parotidectomy was performed in 41 and SP in 5 cases. Eighty-four percent of patients was available for the telephone questionnaire (31 patients, 40 parotidectomies) with a mean follow-up period of 6,2 years. Treatment was successful in 40/46 parotidectomies (87%) and 95% of the patients were content with the result. The incidence of permanent and transient facial nerve palsy was 0 (0%) and 12 (26.1%), respectively. Frey syndrome manifested in 20 (43.5%) patients. Neither this study nor careful review of the current literature resulted in evident difference between SP and NTP regarding the primary outcome variables. Conclusion parotidectomy is a safe and effective treatment for CP in case conservative therapy fails. There is no evidence of a distinct difference between SP and NTP regarding efficiency, facial nerve palsy or Frey syndrome. (AU)
Subject(s)
Male , Female , Adolescent , Adult , Middle Aged , Aged , Parotitis/surgery , Parotid Gland/surgery , Parotid Gland/physiopathology , Parotitis/physiopathology , Sialadenitis/surgery , Sialadenitis/physiopathology , Otorhinolaryngologic Surgical Procedures , Chronic Disease , Treatment Outcome摘要
Introducción: La parotiditis supurativa aguda se presenta con poca frecuencia en el período neonatal. Objetivo: Aportar un nuevo caso de parotiditis supurativa aguda por Staphylococcus aureus resistente a la Meticillina. Presentación del caso: El presente caso tiene la particularidad de que presentó foco de infección inicial (impétigo y conjuntamente mastitis bilateral), en el que se demostró el mismo microorganismo causal de la infección: Staphylococcus aureus resistente a la Meticillina. La mastitis bilateral evolucionó hacia la formación de absceso. En la literatura revisada solo se encontraron tres publicaciones que tratan de neonatos con un foco inicial de infección en sitios diferentes de la parotiditis. Estos aspectos fueron los que motivaron la presentación del caso. Conclusiones: Staphylococcus aureus resistente a la Meticillina ha emergido en los últimos años como agente causal de parotiditis supurativa aguda, que puede diseminarse hacia otro foco infeccioso, habitualmente se logra la curación con tratamiento antibiótico ajustado al agente causal, concretamente con Vancomicina, aunque puede requerir también tratamiento quirúrgico si ocurre abscedación(AU)
Introduction: Acute suppurative parotitis occurs infrequently in the neonatal period. Objective: To provide information of a new case of acute suppurative parotitis caused by Methicillin- resistant Staphylococcus aureus. Case presentation: The present case has the particularity that the patient presented a source of initial infection (impetigo and jointly bilateral mastitis), in which the same causal microorganism of the infection was found: Methicillin resistant Staphylococcus aureus. Bilateral mastitis evolved to the formation of abscess. In the literature reviewed, there were only 3 publications on neonates who presented an initial source of infection in sites different from parotitis. These aspects are those that motivated the presentation of this case. Conclusions: Methicillin resistant Staphylococcus aureus has emerged in the last years as a causal agent of acute suppurative parotitis that can lead to dissemination of another source of infection. Normally, the cure is achieved with antibiotic treatment adjusted to the causal microorganism, specifically with Vancomycin; although it can require surgical treatment if abscesses occurs(AU)
Subject(s)
Humans , Female , Infant, Newborn , Parotitis/complications , Parotitis/drug therapy , Vancomycin/therapeutic use , Methicillin-Resistant Staphylococcus aureus/drug effects , Staphylococcal Infections/complications , Case Reports , Mastitis/complications , Mastitis/drug therapy摘要
Antecedentes. La parotiditis epidémica es una infección viral aguda que produce la inlamación de una o más glándulas salivales, fundamentalmente, la parótida. Es considerada una enfermedad altamente infecto-contagiosa, pero que habitualmente es benigna. con brotes epidémicos que ocurren cada 2, 3 a 7 años en poblaciones no vacunadas. En países sin programas nacionales de vacunación, la incidencia general calculada es de 100 a 1,000 casos por cada 100,000 habitantes. Objetivo. Realizar una búsqueda exhaustiva mediante una revisión sistemática y actualizada de la Parotiditis, para obtener información reciente y estandarizada en el manejo de casos posibles, sospechosos y conirmados. Métodos. Se realizó una búsqueda de artículos originales, revisiones sistemáticas, y artículos de revisión bibliográica en bases de datos indexadas PUBMED, HINARI, SCOPUS, SCIELO, LILACS desde 2012 a 2018. Desarrollo y conclusión. Las parotiditis siguen siendo una enfermedad común en muchas áreas del mundo, su propagación depende de diversos factores asociados, pero controlables. Pese a que existe un programa nacional de inmunizaciones, la vacunación sigue siendo nuestra mejor defensa para la prevención y erradicación de esta patología reemergente. Es importante tener un conocimiento adecuado de esta enfermedad viral, para realizar un abordaje clínico certero, realizando un buen diagnóstico diferencial y brindando un tratamiento adecuado, para evitar las complicaciones, que, aunque sean poco frecuentes, tienen una alta probabilidad de mortalidad...(AU)
Subject(s)
Humans , Parotitis/diagnosis , Mumps Vaccine/therapeutic use , Mumps virus , Immunization Programs/standards , Systematic Review摘要
Resumen El virus de la parotiditis produce una infección benigna caracterizada por un aumento de volumen parotídeo que, antes de la introducción de la vacuna tres vírica, afectaba principalmente a niños y adolescentes. Luego de que esta vacuna se implementara en el Programa Nacional de Inmunizaciones, se produjo una notable disminución en su incidencia. Además, ocasionó un cambio en la edad y presentación clínica, siendo más frecuente en adultos jóvenes con mayor riesgo de complicaciones. Presentamos dos casos clínicos de parotiditis en adultos jóvenes confirmados por serología y en uno de ellos, por biología molecular. Se caracterizó el virus como del genotipo G, como el descrito en los brotes en E.U.A y Europa, diferente al virus contenido en la vacuna. El virus parotídeo sigue circulando en nuestro país y debemos mantenernos alerta ante eventuales brotes. Se hace relevante optimizar el diagnóstico etiológico por serología o técnicas de biología molecular con fines clínicos y epidemiológicos.
Mumps virus usually produces a benign infection characterized by increased parotid volume which, prior to vaccination, mainly affected children and adolescents. After the introduction of measles, mumps and rubella (MMR) vaccine, mumps incidence decreased dramatically. This intervention also produced a change in its clinical presentation, moving to young adult patients, with an increased risk of complications. We report two clinical mumps cases in young adults with different clinical presentations. In both cases, serologic assays were assessed and, in one case, a polymerase chain reaction (PCR) was performed in order to confirm the diagnosis. The isolated virus was characterized and identifed as G genotype, the same genotype observed during outbreaks in United States and Europe, and different to the vaccinal strain. Mumps virus is currently circulating in Chile and it is important to be aware of possible outbreaks. Viral diagnosis can be difficult, particularly in populations with high vaccination coverage. Therefore, the access to etiologic study through PCR and serology becomes more relevant in order to optimize clinical management and secondary prevention measures.
Subject(s)
Humans , Male , Female , Adult , Parotitis/diagnosis , Parotitis/genetics , Mumps virus/genetics , Parotitis/microbiology , Parotitis/drug therapy , Mumps Vaccine/administration & dosage , Chile , Polymerase Chain Reaction , Risk Factors , Vaccination , Genotype , Mumps virus/isolation & purification摘要
Introducción: El presente estudio trata de un brote de parotiditis en un Liceo Militar que se inicia en junio del año 2016 y se prolonga hasta fines de octubre del mismo año. El objetivo fue describir las características epidemiológicas del brote. Métodos: Es observacional, retroprospectivo, de corte transverso de fichas clínicas de cadetes que constan en el archivo del Liceo Militar de Acosta Ñu que abarca el periodo junio a octubre del año 2016 y posterior entrevista a los afectados. Resultados: De 181 cadetes, todos masculinos, con edad media de 16 años, del Liceo Militar de Acosta Ñu. Se tomó como muestra a 115 cadetes (63%) presentaron parotiditis, sin afectación de las otras glándulas salivales. En 50 casos (44%) de forma bilateral y 64 casos (56%) unilateral. 23 cadetes (20%) presentaron complicaciones, como orquitis 22 (19%) todos unilaterales, pancreatitis 1. En ningún caso se presentó meningitis, encefalitis, miocarditis, todos sobrevivieron. De los cadetes afectados no fueron vacunados (SPR) 103 (90%), 8 (7%) recibieron una dosis y 2 (2.3%) dos dosis. Los casos ocurridos (63%) fue debida a la falta de vacunación completa (Triple Viral, 2 dosis) y a las condiciones de hacinamiento de los cadetes. Conclusión: El brote de parotiditis ocurrido en el Liceo Militar de Acosta Ñu, se caracterizó por la alta incidencia de contagios debido a la baja o nula cobertura vacunal y a las condiciones de hacinamiento de los cadetes. Por lo tanto recomendamos que al ingreso a toda institución que incluya residencia temporal o fija en condiciones de hacinamiento, la exigencia mínima debiera ser la presentación de un carnet de vacunación completo.
Introduction: This study describes an outbreak of mumps in a Military Academy that began in June 2016 and lasted until the end of October of the same year. Objective: To describe the epidemiological characteristics of the outbreak. Materials and Methods: This was an observational, retroprospective, cross-sectional review of the medical records of cadets at the Acosta Ñu Military Academy who presented for medical evaluation from June to October, 2016 and with subsequent interviews with identified patients with parotitis. Results: Of 181 cadets, all were male, with an average age of 16 years. We selected a sample of 115 cadets (63%) who presented parotiditis, without involvement of other salivary glands. In 50 cases (44%) the illness was bilateral and in 64 cases (56%), the illness was unilateral. 23 cadets (20%) presented complications, such as orchitis 22 (19%) all unilateral, and one patient had pancreatitis. No patient had meningitis, encephalitis, or myocarditis, and there were no deaths. Of the affected 103 (90%) cadets were not vaccinated with the measles-mumps-rubella (MMR) vaccine, 8 (7%) had received one dose and 2 (2.3%) received two doses. The cases that occurred (63%) were due to the lack of complete vaccination (MMR vaccine, 2 doses) and to the overcrowded conditions of the cadets. Conclusion: The Outbreak of parotitis, which occurred at Acosta Ñu Military Academy, was characterized by a high incidence of infections due to incomplete or no vaccination coverage and the overcrowded conditions of the cadets. Therefore, we recommend that upon admission to any institution that includes temporary or fixed residence in overcrowded conditions, the minimum requirement should be the presentation of a completed vaccination card.
Subject(s)
Parotitis , Vaccination , Virus Release , Inflammation , Mumps virusSubject(s)
Humans , Male , Aged , Parotitis/etiology , BCG Vaccine/adverse effects , Adjuvants, Immunologic/adverse effects , Parotitis/diagnosis , Urinary Bladder Neoplasms/drug therapy , Administration, Intravesical , BCG Vaccine/administration & dosage , Adjuvants, Immunologic/administration & dosage , Neoplasm Recurrence, Local摘要
A doença aterosclerótica das carótidas extracranianas pode resultar em complicações com alta morbidade e mortalidade. A avaliação pré-operatória com exames contrastados de imagem é associada a complicações como a parotidite, além das já bem conhecidas reações alérgicas e da disfunção renal. A bifurcação carotídea alta e a doença aterosclerótica de extensão cranial costumam ser fatores limitantes para o tratamento cirúrgico convencional. Entretanto, quando há contraindicação ao uso de contraste iodado ou impossibilidade do tratamento endovascular, há a necessidade do conhecimento de técnicas cirúrgicas que permitam a realização da endarterectomia com segurança. A subluxação da mandíbula se mostrou uma técnica adjuvante segura e efetiva, de fácil execução e reprodutibilidade, possibilitando o acesso a bifurcações carotídeas altas com boa exposição do campo cirúrgico e permitindo a realização da endarterectomia conforme a técnica padrão. Apresentamos o caso de uma paciente com bifurcação carotídea alta e com limitações para uso do contraste iodado que foi submetida a endarterectomia carotídea após subluxação de mandíbula
Atherosclerotic disease of the extracranial carotid arteries can cause complications with high morbidity and mortality rates. The contrast imaging examinations used in preoperative evaluation are associated with complications such as parotitis, in addition to well-known allergic reactions and renal dysfunction. A high carotid bifurcation or atherosclerotic disease that extends distally are often limiting factors for conventional surgical treatment. However, when iodinated contrast is contraindicated or endovascular treatment is not feasible, knowledge of surgical techniques that allow safe endarterectomy is required. Subluxation of the mandible has proven to be a safe and effective adjuvant technique that is easy to perform and reproducible, providing access to high carotid bifurcations with good exposure of the surgical field and allowing endarterectomy to be performed with a standard technique. We present the case of a patient with a high carotid bifurcation and limitations for use of iodinated contrast who underwent carotid endarterectomy after subluxation of the mandible
Subject(s)
Humans , Female , Middle Aged , Carotid Artery Diseases/complications , Carotid Artery Diseases/diagnosis , Contrast Media , Mandible , Parotitis , Angioplasty/methods , Carotid Arteries , Echocardiography/methods , Endarterectomy/methods , Jaw Fixation Techniques , Ultrasonography/methods摘要
La parotiditis epidémica (fiebre urliana) es una infección viral cuyo único huésped natural es el ser humano. La enfermedad es en general, benigna y autolimitada y un tercio de las personas afectadas tiene una infección subclínica. Puede producir una infección más grave en individuos que han pasado la pubertad que en los niños. Debido a que el diagnóstico de parotiditis es clínico en un 99%, algunos de los casos podrían corresponder a una etiología diferente a la urliana (enterovirus, Epstein Barr, virus Parainfluenza y Adenovirus). Se estima que el esquema de 2 dosis de vacuna triple viral tiene una efectividad de 88% (rango: 66-95%) en la prevención de enfermedad.Se analizaron casos de parotiditis, confirmados o sospechosos, notificados por el Hospital Piñero de la Ciudad de Buenos Aires y/o CeSAC del Área Programática. La fuente de información utilizada fue el SNVS (Módulo C2). Para los estudios etiológicos, se analizó el registro del laboratorio central del Hospital. (AU) .
Subject(s)
Parotitis/diagnosis , Parotitis/pathology , Parotitis/prevention & control , Parotitis/epidemiology , Paramyxoviridae Infections/epidemiology , Disease Notification , Hospitals, Municipal/statistics & numerical data , Health Surveillance , Catchment Area, Health , Records摘要
La parotiditis epidémica (fiebre urliana) es una infección vírica aguda, sistémica, endémica en todo el mundo y los seres humanos son los únicos huéspedes naturales del virus. La enfermedad es en general, benigna y autolimitada y un tercio de las personas afectadas tiene una infección subclínica. Puede producir una infección más grave en individuos que han pasado la pubertad que en los niños. En este informe se describe esta enfermedad y sus agentes etiologicos, incubación y transmisibilidad, cuadros clínicos y complicaciones, diagnóstico, medidas de prevención y control, vigilancia, notificación del caso y toma de muestra, situación histórica en Argentina, y situación actual en la Ciudad de Buenos Aires
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Parotid Diseases/prevention & control , Parotid Diseases/epidemiology , Parotitis/diagnosis , Parotitis/etiology , Parotitis/pathology , Parotitis/prevention & control , Parotitis/epidemiology , Health Surveillance , Vaccination/methods , Vaccination/trends , Disease Notification摘要
Meningitis is a common central nervous system (CNS) complication of the mumps, a viral infection, but encephalitis and meningoencephalitis are less common in mumps. We describe magnetic resonance imaging findings of acute mumps meningoencephalitis in a 32-year-old male who showed bilateral hippocampal lesions without preceding parotitis. Although it is rare, hippocampal involvement should be considered a CNS complication of mumps infection.
Subject(s)
Adult , Humans , Male , Brain , Central Nervous System , Encephalitis , Hippocampus , Magnetic Resonance Imaging , Meningitis , Meningoencephalitis , Mumps , Parotitis摘要
A 29-year-old man developed sudden dysarthria and right-sided weakness 3 days before admission to hospital. He was diagnosed with parotitis in the emergency room of Soonchunhyang University Gumi Hospital. The plasma levels of homocysteine were elevated (30.48 mg/dL). A brain magnetic resonance imaging scan revealed a high signal intensity lesion in the left paramedian pons and computed tomography angiography showed a marked narrowing of the mid-basilar artery. We report a rare case of spontaneous basilar artery dissection caused by a recent infection and hyperhomocysteinemia.
Subject(s)
Adult , Humans , Angiography , Arteries , Basilar Artery , Brain Stem Infarctions , Brain Stem , Brain , Dysarthria , Emergency Service, Hospital , Homocysteine , Hyperhomocysteinemia , Magnetic Resonance Imaging , Parotitis , Plasma , Pons摘要
La parotiditis crónica recurrente infantil (PCRI) es una patología relevante. Su diagnóstico es principalmente clínico, pero se apoya en exámenes imagenológicos. El enfoque actual del tratamiento es diverso. El objetivo es realizar una revisión actualizada sobre las características clínicas, exámenes complementarios, modelos etiopatogénicos y protocolos terapéuticos. MATERIAL Y MÉTODO: Se realizó una búsqueda bibliográfica en PUBMED utilizando los términos libres y términos MESH: PCRI, parotiditis recurrente, parotiditis crónica y parotiditis. Los filtros utilizados fueron pacientes humanos, hasta 18 años, con resumen. En el buscador Scielo se incluyeron los términos libes Parotiditis y crónica. Se incluyeron artículos publicados en idiomas inglés, español o portugués hasta el año 2017. RESULTADOS: En el buscador PUBMED se encontraron 119 artículos de los cuales sólo se incluyeron 44. La exclusión de los artículos restantes se debió a idioma, acceso al artículo o ausencia de relación entre el artículo y la revisión propuesta. En el buscador Scielo se encontraron 6 artículos de los cuales 5 fueron seleccionados. La evaluación multidisciplinaria permite el tratamiento oportuno. Su diagnóstico es clínico pero se apoya en exámenes imagenológicos, como la ecografía y la sialografía. CONCLUSIONES: El enfoque actual de tratamiento es conservador, y la mejor evidencia disponible apoya el uso de sialendoscopia con irrigación y administración de antibióticos y/o corticoides vía conducto parotídeo, sin embargo, existirían buenos resultados con lavados intraglandulares con soluciones fisiológicas sin necesidad de sialendoscopio.
Recurrent childhood chronic parotiditis (RCCP) is a relevant pathology. Its diagnosis is mainly clinical, but it relies on imaging tests. The current treatment approach is diverse. The aim of this article is to update the clinical features, complementary tests, etiopathogenic models and therapeutic protocols of this disease. MATERIAL AND METHOD: A bibliographic search was performed in PUBMED using the free terms and MESH terms: RCCP, recurrent parotiditis, chronic parotiditis and parotiditis. The filters used were human patients, up to 18 years old, with abstract. In SCIELO the free terms included were Parotiditis and chronic. Articles published in English, Spanish or Portuguese until 2017 were included. RESULTS: In PUBMED 119 articles were found and 44 were included. The exclusion of the remaining articles was due to language, access to the article or absence of relationship between the article and the proposed revision. In SCIELO 6 articles were found 6 of which 5 were selected. The multidisciplinary asses of patients with RCCP is considered the appropriate treatment. Its diagnosis is clinical but it relies on imaging tests, such as echography and sialography. CONCLUSIONS: The current treatment approach is conservative, and the best available evidence supports the use of sialendoscopy with irrigation and administration of antibiotics and/or corticosteroids via the parotid duct. However, there would be proper results with intraglandular lavage with physiological solutions without the need for a sialendoscope.
Subject(s)
Humans , Child , Parotitis/diagnosis , Parotitis/etiology , Parotitis/therapy , Recurrence , Chronic Disease , Diagnosis, Differential摘要
Abstract Background and objectives: Many conditions such as bacterial and viral infectious diseases, mechanical obstruction due to air and calculi and drugs can cause parotitis. We present a case of unusual bilateral parotitis in a patient under non-invasive continuous positive airway pressure (CPAP) therapy for chronic obstructive pulmonary disease exacerbation in intensive care unit. Case report: A 36-year-old patient was admitted to intensive care unit with the diagnosis of chronic obstructive pulmonary disease exacerbation. Antibiotherapy, bronchodilator therapy and non-invasive positive pressure ventilation were applied as treatment regimen. Painless swellings developed on the 3rd day of admission on the right and a day after this on the left parotid glands. Amylase levels were increased and ultrasonographic evaluation revealed bilateral parotitis. No intervention was made and the therapy was continued. The patient was discharged on the 6th day with clinical improvement and regression of parotid swellings without any complications. Conclusions: Parotitis may have occurred after retrograde air flow in the Stensen duct during CPAP application. After the exclusion of possible viral and bacteriological etiologies and possible drug reactions we can focus on this diagnosis.
Resumo Justificativa e objetivos: Muitas condições podem causar parotidite, incluindo doenças infecciosas virais e bacterianas, obstrução mecânica por causa da presença de ar, cálculos e medicamentos. Apresentamos um caso de parotidite bilateral incomum em um paciente sob tratamento com pressão positiva contínua não invasiva das vias aéreas (PPCVA) para exacerbação da doença pulmonar obstrutiva crônica em unidade de terapia intensiva. Relato de caso: Paciente de 36 anos, internado em unidade de terapia intensiva com diagnóstico de exacerbação da doença pulmonar obstrutiva crônica. Antibioterapia, terapia broncodilatadora e ventilação com pressão positiva não invasiva foram aplicadas como regime de tratamento. No terceiro dia de internação, inchaços indolores desenvolveram‐se à direita da glândula parótida e, depois, à esquerda. Os níveis de amilase aumentaram e o exame ultrassonográfico revelou parotidite bilateral. Nenhuma intervenção foi feita e o tratamento foi continuado. O paciente recebeu alta no sexto dia, com melhoria clínica e regressão do inchaço da parótida, sem complicações. Conclusões: A parotidite pode ter ocorrido após o fluxo retrógrado de ar do duto de Stensen durante a aplicação de PPCVA. Após a exclusão de possíveis etiologias virais e bacteriológicas e possíveis reações medicamentosas, podemos focar no diagnóstico.