Acute and Non-Chronic Nonobstructive Suppurative Sialadenitis

Clinical Description

Acute bacterial infection of the salivary glands usually involves the paratoid glands. This condition is usually seen in debilitating patients. The usual causative organism is

Staphylococcus aureus.

Signs and Symptoms

Pain and swelling of the involved gland

• Purulent secretions can be expressed from the orifice of the duct
• Fever

Investigations

• Sialography shows a tree in leaf appearance

FBC

• Tissue should be taken for histology in doubtful cases

Non-pharmacological

• Bed rest
• Restricted jaw movement

Pharmacological

• Clindamycin 150 to 300 mg PO 6 hourly or 300 mg IM or IV 6 hourly
• In severe infections 20 mg/kg/24hr. IM or IV into 4 doses

ALTERNATIVELY

• Cloxacillin 500 mg PO 12 hourly for 7 – 10 days

OR

• Cephalexin: Adults 50 mg to 1 gm 6 hourly PO for 7-10 days
• Children 6 to 12 mg/kg PO 6 hourly. Maximum 25 mg/kg 6 hourly