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sialadenitis

Inflammation of a salivary gland. Etiology: - Staphylococcus aureus - mumps - Sjogren's syndrome - HIV1 infection - cytomegalovirus - tuberculosis - salivary stones (sialoliths) - recent radiation therapy [4] * also see parotitis Clinical manifestations: 1) pain & edema of affected salivary gland(s) 2) tenderness & erythema over affected gland 3) salivary stones may be felt (tender, small, hard) 4) palpation may result in pus from the salivary gland duct 5) fever may be noted Laboratory: - culture of pus collected from the salivary gland duct Differential diagnosis: - salivary gland neoplasm - lymphoma - sialolithiasis Management: - stimulation of saliva production with warm compresses - sour candies or vitamin C lozenges - salivary gland massage - increase oral fluid intake - oral hygiene - antibiotics as indicated if bacterial etiology [4]

Related

sialadenosis (sialosis) sialolithiasis (salivary stone)

Specific

parotitis

General

salivary gland disease

References

  1. Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
  2. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 186
  3. NEJM Knowledge+ Question of the Week Sept 29, 2020 https://knowledgeplus.nejm.org/question-of-week/391/ - Mehanna H et al. Salivary gland swellings. BMJ 2012 Oct 25; 345:e6794 PMID: 23092898
  4. Medical Knowledge Self Assessment Program (MKSAP) 19, College of Physicians, Philadelphia 2022 - Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022