Parotitis natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Natural History
Viral Parotitis
- Mumps, the viral cause for parotitis, will incubate for 15 to 24 days before symptoms manifest in an infected individual.[1]
- Parotitis will gradually develop over 2-3 days after mumps symptoms manifest, usually remaining for 7 days.[1]
- Parotitis will usually resolve itself without treatment within 10 days of manifestation.[2]
Recurrent parotitis
- Juvenile recurrent parotitis usually manifests in children around 5 years old, but children from 3 months to 16 years old have been reported to begin experiencing symptoms as well.[3]
- Parotitis occurrences usually last between 3 and 7 days, rarely persisting for up to 2-3 weeks at a time.[3]
- Recurrent parotitis is usually self-limited, usually subsiding between the ages 10-15 and resolved by age 22.[3][4]
- More severe cases may not resolve themselves and require more intensive intervention, such as parotidectomy.[5]
Complications
- Complications from parotitis arise from infectious causes, such as viral or bacterial parotitis:
- Parotid abscess: Parotitis resulting from infectious causes can result in abscess formation in the parotid gland.[6]
Prognosis
- Prognosis is good, with the majority of parotitis patients recovering fully with or without symptomatic treatment due to the self-limited nature of the disease.[7]
References
- ↑ 1.0 1.1 Hviid A, Rubin S, Mühlemann K (2008). "Mumps". Lancet. 371 (9616): 932–44. doi:10.1016/S0140-6736(08)60419-5. PMID 18342688.
- ↑ "Salivary gland infections: MedlinePlus Medical Encyclopedia".
- ↑ 3.0 3.1 3.2 Nahlieli O, Shacham R, Shlesinger M, Eliav E (2004). "Juvenile recurrent parotitis: a new method of diagnosis and treatment". Pediatrics. 114 (1): 9–12. PMID 15231901.
- ↑ Chitre VV, Premchandra DJ (1997). "Recurrent parotitis". Arch. Dis. Child. 77 (4): 359–63. PMC 1717350. PMID 9389246.
- ↑ Watkin GT, Hobsley M (1986). "Natural history of patients with recurrent parotitis and punctate sialectasis". Br J Surg. 73 (9): 745–8. PMID 3756441.
- ↑ Srirompotong S, Saeng-Sa-Ard S (2004). "Acute suppurative parotitis". J Med Assoc Thai. 87 (6): 694–6. PMID 15279351.
- ↑ Baszis K, Toib D, Cooper M, French A, White A (2012). "Recurrent parotitis as a presentation of primary pediatric Sjögren syndrome". Pediatrics. 129 (1): e179–82. doi:10.1542/peds.2011-0716. PMID 22184654.