文章摘要

新生儿化脓性腮腺炎合并同侧结膜炎1例并文献复习

作者: 1马亚男, 1方晓慧, 1吕安平, 1张金萍
1 上海交通大学附属第六人民医院儿科，上海 200233
通讯: 张金萍 Email: zhang-jin-ping@163.com
DOI: 10.3978/j.issn.2095-6959.2022.06.038
基金: 上海市卫健委适宜技术课题(2019SY051)。

摘要

新生儿化脓性腮腺炎(neonatal suppurative parotitis，NSP)是一种罕见的感染性疾病，发病率为0.38‰~1.4‰，特征为腮腺肿胀、疼痛和腮腺部皮肤红斑，Stensen管可能有脓性渗出物。主要病原菌为金黄色葡萄球菌。本文报告1例NSP合并同侧结膜炎病例，为日龄14 d的足月男婴，有腮腺肿胀、疼痛和局部红斑病史。其超声检查显示腮腺增大，但无脓肿。腮腺Stensen管和眼部的分泌物同时发现了表皮葡萄球菌的生长，静脉注射抗生素反应良好。
关键词： 腮腺炎；化脓性；新生儿

Neonatal suppurative parotitis complicated with ipsilateral conjunctivitis: A case report and literature review

Authors: 1MA Yanan, 1FANG Xiaohui, 1LÜ Anping, 1ZHANG Jinping
1 Department of Pediatrics, Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China

CorrespondingAuthor: ZHANG Jinping Email: zhang-jin-ping@163.com

DOI: 10.3978/j.issn.2095-6959.2022.06.038

Foundation: This work was supported by the Suitable Technical Subject of Shanghai Municipal Health Commission, China (2019SY051).

Abstract

Neonatal suppurative parotitis (NSP) is a rare infectious disease. The incidence rate is 0.38‰–1.4‰. The clinical manifestation of NSP is swelling, pain, erythema of the parotid gland, and purulent exudate may be also found in the Stensen duct. The main pathogen of NSP is Staphylococcus aureus. We reported a 14-day-old full-term boy diagnosed with NSP, who had ipsilateral conjunctivitis with a history of parotid swelling, pain and erythema. Ultrasound examination shown that the parotid gland was enlarged without abscess. The growth of Staphylococcus epidermidis was found in the secretion of parotid gland and ipsilateral eye simultaneously, and intravenous antibiotics treatment was effective.

Keywords： parotitis; suppurative; newborn

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