Bilateral neonatal suppurative sialadenitis progressing to abscess formation in a preterm neonate

Shaughnessy, Niamh; McGrath, T.; Moore, M.; Walsh, Brian Henry

Bilateral neonatal suppurative sialadenitis progressing to abscess formation in a preterm neonate

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Bilateral_Neonatal_Suppurative_Sialadenitis.pdf(126.39 KB)

Published Version

Date

2019-06

Authors

Shaughnessy, Niamh

McGrath, T.

Moore, M.

Walsh, Brian Henry

Publisher

Irish Medical Organisation

Abstract

Aims: We report a case of bilateral neonatal suppurative sialadenitis (NSS) in an extremely low birth weight infant (ELBW). Methods: The infant developed bilateral sub-mandibular swelling at 3 weeks of age. NSS with abscess was confirmed with ultrasound. Despite intravenous antibiotic therapy the masses increased in size and developed abscesses. Results: Unilaterally the abscess discharged via Whartonâ s duct necessitating intubation to protect the airway. The abscess remnant was incised and drained. Culture grew a methicillin sensitive staphyloccocus aureus. The NSS resolved following two weeks of antibiotics. Conclusion: We wish to highlight the importance of early recognition of this rare condition in preterm neonates.

Keywords

Bilateral neonatal suppurative sialadenitis (NSS)

Citation

Shaughnessy, N., McGrath, T., Moore, M. and Walsh, B. H. (2019) 'Bilateral neonatal suppurative sialadenitis progressing to abscess formation in a preterm neonate', Irish Medical Journal, 112(6), P955. Available at: http://imj.ie/bilateral-neonatal-suppurative-sialadenitis-progressing-to-abscess-formation-in-a-pre-term-neonate/ (Accessed: 8 November 2021)