sialadenitis
Jump to navigation
Jump to search
Introduction
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
- pain & edema of affected salivary gland(s)
- tenderness & erythema over affected gland
- salivary stones may be felt (tender, small, hard)
- palpation may result in pus from the salivary gland duct
- fever may be noted
Laboratory
- culture of pus collected from the salivary gland duct
Differential diagnosis
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]
More general terms
More specific terms
Additional terms
References
- ↑ Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
- ↑ Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 186
- ↑ 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: https://www.ncbi.nlm.nih.gov/pubmed/23092898 - ↑ 4.0 4.1 4.2 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