Concluded Case

9 yr old female.. c/o bilateral parotid swelling before 5 days and was with low grade fever treated for parotitis for last 5 days tab ibugesic plus-1/2 bd tab pecef 100mg-bd gargles with lukewarm water given now rt submental hard,non movable swlling (lyph node) is there.. then what should be the further approach????

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Concluded answer
It is mumps involving all 4 salivary glands
All Answers
It is rt submandibular lymph node...... Continue same treatment.... But rule out submandibular abscess... (Is there any fluctuation?).... Amoxy clav would be better choice...
Valuable opinion
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Dose of antibiotics is as per weight? If more than 30kg, start adult dose and let it continues for another 5 days
Yes.. she is 20 kg.. so cefpodoxime-100mg-bd given
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Same line of treatment. This involve also submandibular salivary gland.
Thank you doctor
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It is mumps involving all 4 salivary glands
Thank you doctor
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Probably a parotitis with lymphadenitits Rule out Ludwig angina with previous dental condition from history. And a Ultrasound parotid.. If no collection or airpockets continue iv antibiotics and adequate hydration.. Maintain oral hygiene..
Thank you doctor
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Looks like mumps no need of antibiotics if symptomatic still and tender lymph node then search for source of infection in oral cavity if fever has subsided just give good oral hygiene and some ant inflammatory and observe
Try l mouth wash,add metrogyl as it helps oral infection ,add antiinflammatory enzyme preparation .do CBC ,sonography if not rrsponding .can add steroid tapwring dosse for 3days if parotid swelling is increasing..
Bilateral parotitis close differential is mumps. Continue supportive care. Augmenting is a better choice of antibiotic predominantly covering gram positives which is needed in this case. CBC??
I agree
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How about getting a USG of soft tissue of the affected side of neck  ?
Amoxiclav is better option if not responding get usg done
Thank you doctor
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