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

2019-06-01

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) , ~Medicine - Journal Articles~

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)