Letter to the Editor

Acute Bacterial Parotitis due to Methicillin-resistant Staphylococcus aureus

Authors: Imran Mohammed, MD, Mark Hofstetter, MD

Abstract

Acute bacterial parotitis (ABP) is an inflammation of the parotid gland that results from stasis of salivary flow and retrograde bacterial contamination of the Stenson duct. Despite some case reports of Gram-negative1 and anaerobic bacteria,2 Staphylococcus aureusremains the most common pathogen of ABP.3 We report two cases in which methicillin-resistant S aureus (MRSA) was causing ABP, and that support the only two case reports4,5 previously published in the literature.

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References

1. Pruett TL, Simmons RL. Nosocomial gram-negative bacillary parotitis. JAMA 1984;251:252–253.
 
2. Matlow A, Korentager R, Keystone E, et al. Parotitis due to anaerobic bacteria. Rev Infect Dis1988;10:420–423.
 
3. McQuone SJ. Acute viral and bacterial infections of the salivary glands. Otolaryngol Clin North Am1999;32:793–811.
 
4. Molina JC, Altes J, Vera R, et al. [Acute bacterial parotiditis due to methicillin-resistant Staphylococcus aureus in the institutionalized elderly]. Enferm Infecc Microbiol Clin 2003;21:325–326.
 
5. Rousseau P. Acute suppurative parotitis. J Am Geriatr Soc 1990;38:897–898.