Parotiditis aguda en recién nacido Neonatal acute parotitis

Neonatal acute suppurative parotitis is an extremely uncommon disease in newborns, without any published cases in national literature. Thought ascending infection from oral cavity to Stenon's duct and sialectasia are most common pathological mechanisms, dehydration and septicaemia with parotid extension has been proposed as other potential pathways. We present a 13 days neonate, without perinatal history, from Roberto del Río Pediatric Hospital, presenting 12 hours of fever, pain, irritability, right parotid swelling and purulent secretion from right Stenon's duct. Clinical, microbiological and radiological diagnosis was made, isolating multisensible Staphyloccus aureus from secretion cultures. Antibiotical treatment (cefotaxime plus cloxaciline) was initiated, with a successful course. From this case, we reviewed literature for further discussion of diagnostic, therapeutic and prognosis of this disease.