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BMJ Case Rep. 2015 Jun 10;2015. pii: bcr2014209115. doi: 10.1136/bcr-2014-209115.

Group B streptococcal neonatal parotitis.

Author information

1
Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal Pediatric Department, Coimbra Hospital and University Centre, Coimbra, Portugal.
2
Medical Imaging Department, Coimbra Hospital and University Centre, Coimbra, Portugal.
3
Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal.

Abstract

Acute neonatal parotitis (ANP) is a rare condition, characterised by parotid swelling and other local inflammatory signs. The most common pathogen is Staphylococcus aureus, but other organisms can be implicated. We describe the case of a 13-day-old term newborn, previously healthy, with late-onset group B Streptococcus (GBS) bacteraemia with ANP, who presented with irritability, reduced feeding and tender swelling of the right parotid. Laboratory evaluation showed neutrophilia, elevated C reactive protein and procalcitonin, with normal serum amylase concentration. Ultrasound findings were suggestive of acute parotitis. Empiric antibiotic therapy was immediately started and adjusted when culture results became available. The newborn was discharged after 10 days, with clinical improvement within the first 72 h. Although S. aureus is the most common pathogen implicated in ANP, GBS should be included in the differential diagnosis.

PMID:
26063107
PMCID:
PMC4480078
DOI:
10.1136/bcr-2014-209115
[Indexed for MEDLINE]
Free PMC Article

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