AI Article Synopsis

  • Acute suppurative parotitis (ASP) is a serious infection mostly affecting elderly surgical patients, with risk factors including dehydration, health complications, and weakened immune systems.
  • An 82-year-old woman presented with severe symptoms like dehydration and poor oral hygiene, leading to a painful swollen parotid gland and a high fever after two days in the hospital.
  • Despite surgical intervention to drain the abscess, the patient experienced severe complications and ultimately succumbed to multiple organ dysfunction syndrome, highlighting the urgent need for effective treatment for ASP.

Article Abstract

Background: Acute suppurative parotitis (ASP) is a severe infection seen particularly in elderly surgical patients. Factors that increase the risk of ASP include post-operative dehydration, debilitating conditions, and immunosuppressed states.

Method: Case report and literature review.

Results: An 82-year-old female patient was admitted because of paralytic ileus, dehydration, and poor oral hygiene, and was in distress. After two days of hospitalization, the patient developed a progressive painful swelling of her right parotid gland and fever up to 39.0°C. Computed tomography scanning showed an abscess in the parotid gland. Because of her progressive clinical deterioration, the patient underwent operative drainage of the abscess and removal of the necrotic material. Unfortunately, she suffered multiple organ dysfunction syndrome and died.

Conclusion: Acute suppurative parotitis requires prompt aggressive treatment that nevertheless may fail.

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Source
http://dx.doi.org/10.1089/sur.2011.015DOI Listing

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