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Recurrent parotitis in Childhood Suffering.
Dear All
My 5 and 1/2 year old kid is suffering with recurrent swelling on below left ear since last 6 months , it came 3 to 4 times in last 6 month time, When we consult the pediatrician, they Did CBC (Complete Blood Count ) E.S.R and Ultra sound on Parotid Gland, in first CBC , WBC was high like 17.5xHx10^3 /ul where limit was 4.5 to 10.5, RBC,Platelet ,MPV everything was normal count, after one week we took one more CBC where WBC became 8.63 normal range was 10, but RBC become 4.85 normal range was 3.60-4.69, and on Utlra sound scanning finding was "Both Parotid glands shows multiple hypoechoic & shows increase vascularity on color flow - Parotitis . Left Side of Neck shows few enlarged cervical lymphnodes ". Doctor said it is a condition called "Recurrent parotitis in Childhood " , Is it correct ,what is the causes for this and how we can prevent in future.
Thanks in Advance
Shameer Muhammed
My 5 and 1/2 year old kid is suffering with recurrent swelling on below left ear since last 6 months , it came 3 to 4 times in last 6 month time, When we consult the pediatrician, they Did CBC (Complete Blood Count ) E.S.R and Ultra sound on Parotid Gland, in first CBC , WBC was high like 17.5xHx10^3 /ul where limit was 4.5 to 10.5, RBC,Platelet ,MPV everything was normal count, after one week we took one more CBC where WBC became 8.63 normal range was 10, but RBC become 4.85 normal range was 3.60-4.69, and on Utlra sound scanning finding was "Both Parotid glands shows multiple hypoechoic & shows increase vascularity on color flow - Parotitis . Left Side of Neck shows few enlarged cervical lymphnodes ". Doctor said it is a condition called "Recurrent parotitis in Childhood " , Is it correct ,what is the causes for this and how we can prevent in future.
Thanks in Advance
Shameer Muhammed
Hi There
Thanks for your comment, ENT Doctor Said there is nothing to worry , as there is some bacterial infection on one gland, and provided antibiotic.Advised to provide gently massage and the cheek.but not advised to go for mmune deficiency and Sjogren's syndrome screening, Does it really do ? is it really worry some ?
Thanks for your comment, ENT Doctor Said there is nothing to worry , as there is some bacterial infection on one gland, and provided antibiotic.Advised to provide gently massage and the cheek.but not advised to go for mmune deficiency and Sjogren's syndrome screening, Does it really do ? is it really worry some ?
MEDICAL PROFESSIONAL
Hi there,
Recurrent parotitis is an immunologically mediated condition. the lack of pus A clinical diagnosis can often be confirmed by ultrasound.The bacterial infection is thought to involve flora ascending from the oral cavity. These infections never produce frank pus unlike adults. Penicillin VK is a good choice for acute infections. In addition, massage, warmth, good oral hygiene, sialogogues are also helpful. These conservative measures may decrease the frequency of attacks. If medical treatment fails, parotid duct ligation, tympanic neurectomy, and parotidectomy are other options. Affected children should be screened immune deficiency and Sjogren's syndrome. For that you need to see an ENT specialist and get examined.This is merely an advice and not a substitute for clinical examination. Hope it helps.
Good luck and take care!
Recurrent parotitis is an immunologically mediated condition. the lack of pus A clinical diagnosis can often be confirmed by ultrasound.The bacterial infection is thought to involve flora ascending from the oral cavity. These infections never produce frank pus unlike adults. Penicillin VK is a good choice for acute infections. In addition, massage, warmth, good oral hygiene, sialogogues are also helpful. These conservative measures may decrease the frequency of attacks. If medical treatment fails, parotid duct ligation, tympanic neurectomy, and parotidectomy are other options. Affected children should be screened immune deficiency and Sjogren's syndrome. For that you need to see an ENT specialist and get examined.This is merely an advice and not a substitute for clinical examination. Hope it helps.
Good luck and take care!
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