AI Article Synopsis
- - A case study presented a 36-year-old patient with chronic obstructive pulmonary disease exacerbation who developed bilateral parotitis while undergoing CPAP therapy in the ICU.
- - The patient exhibited painless swelling in the parotid glands after starting treatment, with elevated amylase levels confirming parotitis, but no invasive interventions were necessary.
- - The research suggests that retrograde airflow in the Stensen duct during CPAP may have led to the parotitis, after ruling out other potential causes like infections and drug reactions.
Article Abstract
Background And Objectives: Many conditions such as bacterial and viral infectious diseases, mechanical obstruction due to air and calculi and drugs can cause parotitis. We present a case of unusual bilateral parotitis in a patient under non-invasive continuous positive airway pressure (CPAP) therapy for chronic obstructive pulmonary disease exacerbation in intensive care unit.
Case Report: A 36-year-old patient was admitted to intensive care unit with the diagnosis of chronic obstructive pulmonary disease exacerbation. Antibiotherapy, bronchodilator therapy and non-invasive positive pressure ventilation were applied as treatment regimen. Painless swellings developed on the 3rd day of admission on the right and a day after this on the left parotid glands. Amylase levels were increased and ultrasonographic evaluation revealed bilateral parotitis. No intervention was made and the therapy was continued. The patient was discharged on the 6th day with clinical improvement and regression of parotid swellings without any complications.
Conclusions: Parotitis may have occurred after retrograde air flow in the Stensen duct during CPAP application. After the exclusion of possible viral and bacteriological etiologies and possible drug reactions we can focus on this diagnosis.
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| http://dx.doi.org/10.1016/j.bjan.2014.05.010 | DOI Listing |
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