新生儿化脓性腮腺炎1例报告并文献分析

Neonatal Suppurative Mumps: A Case Report and Literature Analysis

新生儿化脓性腮腺炎(neonatal suppurative parotitis, NSP)是一种罕见的涎腺疾病,在新生儿发病率极低,通常表现为累及腮腺区引起颜面部肿胀,多以葡萄球菌感染为主,治疗主要依靠静脉输注抗生素,预后良好,复发率低。本文分析了我院新生儿科于2022年2月收治的1例新生儿化脓性腮腺炎患儿,并复习总结国内外相关文献。患儿为1例生后18天的男性新生儿,系抱养儿,家中娩出,旧法断脐,人工喂养,主要临床表现为发热、腮腺区肿胀,腮腺导管口有脓液,炎性指标增高,脓液培养提示金黄色葡萄球菌生长,经抗生素等治疗10 d痊愈出院,随访无复发。

Neonatal suppurative parotitis (neonatal suppurative parotitis, NSP) is a rare salivary gland disease with a very low incidence in newborns. It is usually manifested as facial swelling caused by parotid gland involvement and is mainly caused by staphylococcal infection. The treatment is mainly based on intravenous infusion of antibiotics, with a good prognosis and low recurrence rate. In this paper, the clinical data of a case of neonatal neonatal purulent mumps admitted to the Department of our hospital in February 2022 were retrospectively analyzed, and relevant literatures at home and abroad were reviewed and summarized. The infant was a male newborn 18 days after birth, who was adopted and delivered at home. The umbilicus was broken by the old method and the infant was fed with milk powder. The main clinical manifestations were fever, swelling of parotid gland, pus in the orifice of parotid duct and increased inflammatory index. Pus culture suggested the growth of Staphylococcus aureus and was cured and discharged from hospital after 10 days of anti-biotic treatment. There was no recurrence.