What causes unilateral parotid enlargement?

Acute bilateral or unilateral swelling associated with pain can be caused by obstruction of the salivary glands by mucous plugging, non-infectious inflammation or a non-Hodgkin’s lymphoma.

What causes unilateral parotitis?

Parotitis is a painful swelling of your parotid glands, which are salivary glands located between the ear and jaw. The most common cause is a virus, such as mumps, herpes, or Epstein-Barr. Bacterial infections, diabetes, tumours or stones in the saliva glands, and tooth problems also may cause parotitis.

Is parotitis unilateral or bilateral?

Patients with parotitis complain of progressive enlargement and pain in one or both parotid glands. Bilateral parotid involvement is typical for mumps and inflammatory conditions, whereas unilateral parotid swelling, pain, and presence of fever are more suggestive of bacterial cause.

Is sialadenitis unilateral?

Painless swellings (unless secondarily infected) classically occur in autoimmune sialadenitis (i.e., Sjogren syndrome) and may be unilateral or bilateral. Chronic sclerosing sialadenitis (Kuttner’s tumor) is typically unilateral and may mimic a tumor.

Is Sjogren’s syndrome unilateral?

The enlargement of salivary glands, which may start with unilateral and then progress to bilateral involvement, can follow a chronic or episodic pattern of swelling due to the underlying inflammatory process.

How do you reduce parotid gland swelling?

Drink lots of water and use sugar-free lemon drops to increase the flow of saliva and reduce swelling. Massaging the gland with heat. Using warm compresses on the inflamed gland.

What is the best treatment for parotitis?

Most episodes of chronic parotitis are treated symptomatically. Sialogogues, local heat, gentle massage of the gland from posterior to anterior, and hydration provide variable symptomatic relief. When pus is expressed from the Stensen duct, culture and sensitivity studies guide antibiotic selection.

Can parotitis be bilateral?

Acute suppurative parotitis Parotid swelling is usually unilateral, although bilateral involvement is seen in 15–25% cases. The disease usually occurs in debilitated, dehydrated patients with poor oral hygiene.

What causes bilateral parotid enlargement?

The infectious causes of bilateral parotid enlargement include viral mumps, HIV, acute suppurative parotitis, tuberculosis, and bilateral parotid abscess. Of these, viral mumps and HIV are bilateral more than half of the time,3,19,20 whereas the rest are less likely to be bilateral (Figure 2).

What causes recurrent salivary gland infection?

Salivary Infection: Causes The most common causes of acute salivary gland infections are bacteria, especially Staphylococcus aureus, or staph. Viruses and fungi can also cause infection in the glands. (Mumps is an example of a viral infection of the parotid glands.)

Which antibiotic is best for sialadenitis?

Treatment of Sialadenitis Initial treatment for sialadenitis is with antibiotics active against S. aureus (eg, dicloxacillin, 250 mg orally 4 times a day, a 1st-generation cephalosporin, or clindamycin), modified according to culture results.