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Acute Nonsuppurative Sialoadenitis
Aka: Acute Nonsuppurative Sialoadenitis, Viral Sialoadenitis, Acute Nonsuppurative Sialadenitis, Viral Sialadenitis, Acute Viral Sialadenitis
- See Also
- Mumps
- Acute Suppurative Sialoadenitis
- Neonatal Sialadenitis
- Sialolithiasis
- Salivary Gland Tumor
- Epidemiology
- Common in children
- Mumps cases are in children under age 15 years in 85% of cases
- Less common in adults
- Sialolithiasis, Bacterial Sialadenitis affect adults most commonly
- Causes
- Mumps Parotitis
- Historically, the most common cause prior to Vaccination
- Incidence reduced by 99% following routine Vaccination
- Transmitted easily by airborne droplet spread
- Local pain and swelling of Parotid Glands (may start unilaterally, but is bilateral ultimately)
- Associated with Otalgia and Trismus
- Human Herpesvirus 6 (Roseola or Exanthem Subitum)
- Epstein-Barr Virus Infection (Mononucleosis)
- Coxsackievirus Infection and other enteroviruses
- Parainfluenza Virus
- Influenza A
- HIV Infection
- Diffuse cystic involvement of the major glands
- Presents with gradual, non-tender enlargement (typically affects Parotid Gland)
- Symptoms and signs
- Swollen, tender Salivary Gland
- Differential Diagnosis
- See Neck Masses in Children
- Acute Suppurative Sialoadenitis
- Recurrent Parotitis of Childhood
- Sialolithiasis
- Sjogren Syndrome
- Labs
- Mumps Serology
- Consider Monospot (or EBV and CMV Serology)
- Consider HIV Test if risk factors
- Management
- Hydration
- NSAIDs for analgesia
- Course
- Mumps Parotitis resolves within 2 weeks
- Complications
- See Mumps
- Prevention
- MMR Vaccine is 88% effective in preventing Mumps
- References
- Fedok in Noble (2001) Primary Care Medicine, p. 1770-1
- Chow in Mandell (2000) Infectious Disease, p. 699-700
- Walner in Cummings (1998) Otolaryngology, p. 5-121
- Wilson (2014) Am Fam Physician 89(11): 882-8 [PubMed]