No abstract available.
Meningitis* ; Mumps* ; Parotitis* ; Scrub Typhus

Acute pancreatitis due to organophosphate intoxication is a known risk, but acute parotitis due to organophosphate intoxication is rare. We describe the case of a 74-year-old man who had acute organophosphate intoxication-induced ipsilateral parotitis. He developed ipsilateral parotid gland swelling and elevated serum amylase on the second day of the poisoning. However, serum lipase did not elevate and amylase isoenzyme predominated over S-type. Thus, we suggest that acute parotitis can develop due to organophosphate intoxication, and that this possibility should be checked by serial serum amylase, serum lipase, and amylase isoenzyme testing.
Aged ; Amylases ; Humans ; Lipase ; Pancreatitis ; Parotid Gland ; Parotitis

Pneumoparotitis is a rare cause of enlargement of the parotid gland. Hence, it is often misdiagnosed and therefore incorrectly treated. We report, with the clinical presentation and radiographic findings, a case of pneumoparotitis due to trumpet playing. Swelling of the parotid gland was initiated by air being forced through the Stensen`s duct, resulting in the insufflation of air into the acini of the parotid gland. Recurrent parotid insufflation is not entirely benign and may predispose the parotid gland to sialectasia, recurrent parotitis, subcutaneous emphysema, and even mediastinal emphysema.
Insufflation ; Mediastinal Emphysema ; Parotid Gland ; Parotitis ; Subcutaneous Emphysema ; Wind*

Organophosphate (OP) pesticides are the most common source of human toxicity globally, causing high mortality and morbidity despite the availability of atropine as a specific antidote and oximes to reactivate acetylcholinesterase. The primary toxicity mechanism is inhibition of acetylcholinesterase (AchE), resulting in accumulation of the neurotransmitter, acetylcholine, and abnormal stimulation of acetylcholine receptors. Thus, the symptoms (muscarinic, nicotinic, and central nervous system) result from cholinergic overactivity because of AchE inhibition. OP can also cause rhabdomyolysis, pancreatitis, parotitis, and hepatitis. OP therapy includes decontamination, supportive therapy, and the use of specific antidotes such as atropine and oximes. However, there has been a paucity of controlled trials in humans. Here we evaluated the literature for advances in therapeutic strategies for acute OP poisoning over the last 10 years.
Acetylcholine ; Acetylcholinesterase ; Antidotes ; Atropine ; Decontamination ; Hepatitis ; Humans ; Neurotransmitter Agents ; Oximes ; Pancreatitis ; Parotitis ; Pesticides ; Receptors, Cholinergic ; Rhabdomyolysis

A male infant aged 3 months and 1 week had persistently high fever with parotitis that was unresponsive to antibiotics. Mumps was identified by serologic study, but he was finally diagnosed by clinical features as having Kawasaki disease and echocardiographic findings on the 9th day of fever. Parotitis, which is unresponsive to antibiotics, should be considered Kawasaki disease even though typical symptoms are not present.
Aged ; Anti-Bacterial Agents ; Fever ; Humans ; Infant ; Male ; Mucocutaneous Lymph Node Syndrome ; Mumps ; Parotitis

Meningitis is a common central nervous system (CNS) complication of the mumps, a viral infection, but encephalitis and meningoencephalitis are less common in mumps. We describe magnetic resonance imaging findings of acute mumps meningoencephalitis in a 32-year-old male who showed bilateral hippocampal lesions without preceding parotitis. Although it is rare, hippocampal involvement should be considered a CNS complication of mumps infection.
Adult ; Brain ; Central Nervous System ; Encephalitis ; Hippocampus ; Humans ; Magnetic Resonance Imaging* ; Male ; Meningitis ; Meningoencephalitis* ; Mumps* ; Parotitis*

OBJECTIVETo study the sialographic changes and to compare the changes with sialoendoscopic and irrigation fluid findings in chronic obstructive parotitis (COP).

METHODSThis study involved 27 patients with a long history of parotid swelling. All patients were examined by X-ray, sialography, and were diagnosed as COP without sialolithiasis. Sialoendoscopy was used to observe the ductal system and irrigation treatment performed. The irrigated liquid was centrifuged and the deposits of fluid were stained and observed under microscopy. The sialographic changes were classified as previous studies and compared with sialoendoscopic and irrigation fluid findings.

RESULTSThe sialographic changes of COP in 27 patients included 9 cases with type I, 5 cases with type II, 9 cases with type III and 3 cases with type IV changes, 1 case was normal. Marked obstructive factors such as stricture of ductal system were revealed in 21 cases on the sialogram. Sialoendoscopic examination showed that the ductal system was filled with fiber-like substances and hyperaemia of ductal wall in all cases. While few and thin fiber-like substances were found in the COP with sialographic type I and type II changes, many thick wadding or mass fiber-like substances were revealed in COP with sialographic type III and IV changes. Microstones were found in 2 COP with sialographic type III changes which were stained and identified by microscopy. Foreign body (drug bar) was found in one COP with sialographic type I changes with sialoendoscopy. Irrigation fluid examination showed fiber-like substance was composed of desquamative duct epithelial cells, neutrophil, lymphocytes, acidophile. Some epithelial cells were found in two microliths.

CONCLUSIONSThe pathological basis of fiber-like substance on sialoendoscopy is desquamative duct epithelial cells. Fiber-like substance in the lumen of ductal system is considered as one of the obstructive factors in COP. Sialoendoscopic findings is related to sialographic changes.

Adult ; Aged ; Chronic Disease ; Endoscopy ; Female ; Humans ; Male ; Middle Aged ; Parotitis ; diagnosis ; pathology ; Sialography ; Therapeutic Irrigation

We report a case of Mumps deafness with acute vestibular symptoms in a 13-year-old boy, who developed both parotid swelling preceded by acute right hearing loss and vertigo with spontaneous nystagmus. He was diagnosed as Mumps when the antibody of Mumps virus was detected in the serum. To our knowledge, this is the first case of Mumps infection, where parotitis was preceded by hearing loss and vertigo. This study indicates that the first symptom of Mumps virus infection could be hearing loss or vertigo.
Adolescent ; Deafness ; Hearing Loss* ; Humans ; Male ; Mumps virus ; Mumps* ; Parotitis* ; Vertigo*

There are multiple causes of acute parotid swelling, including viral and bacterial infections, duct obstruction, neoplasms and enlargement accompanying connective tissue disease. Another possible cause of parotid swelling is pneumoparotid. Patients with pneumoparotid typically present with painless swelling in the parotid region with crepitus on palpation. We present a rare case of pneumoparotid with initial presentation of viral parotitis in the epidemic area of mumps.
Bacterial Infections ; Connective Tissue Diseases ; Humans ; Mumps ; Palpation ; Parotid Region ; Parotitis

Self-induced pneumoparotitis is a rare cause of swelling of the parotid gland. It has been reported to be a result of psychosomatic disorder, unintentional habit, and it is sometimes self-induced by patients to achieve secondary gain. We report a case of a 18-year-old man who had a self-induced pneumoparotitis complicated by recurrent parotitis, subcutaneous emphysema and pneumomediastinum. With repeated behavior of insufflation, parotid acini may rupture and air may extend into the retropharyngeal space, causing pneumomediastinum or pneumothorax. In self-induced cases, treatment should necessitate psychologic therapy for behavior modification.
Adolescent ; Behavior Therapy ; Humans ; Insufflation ; Mediastinal Emphysema ; Parotid Gland ; Parotitis ; Pneumothorax ; Psychophysiologic Disorders ; Rupture ; Subcutaneous Emphysema