Presentation of acute suppurative parotitis in a newborn with incessant crying

A male infant born at 37 weeks of gestation by caesarean delivery presented to the emergency room at 17 days of age with incessant crying mostly during breast feeding which had started a few hours ago. His birth weight was 2545 g and he was gaining weight appropriately. On examination, the infant was very irritable and crying. He had a temperature of 37.5°C. The physical examination was otherwise unremarkable. Laboratory findings showed neutrophilic leucocytosis (white blood cell count of 14 750/mm3 with 10 000/mm3 neutrophils) and slightly increased C reactive protein (1.87 mg/dL, normal value <0.5 mg/dL). Urine dipstick test was negative. After a few hours, a right preauricular hard, warm swelling was observed. On examination of the oral cavity, pus was seen exuding from the right Stensen's duct (figure 1) when external pressure was applied to the parotid gland. The exudate and blood were sent for culture and a diagnosis of acute suppurative...
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - Category: Perinatology & Neonatology Authors: Tags: Images in neonatal medicine Source Type: research