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Open Access

Suppurative parotitis and parapharyngeal space infection in an elderly patient – a Case report

  • Lucian Chirilă1, 2,
  • Cristian Rotaru1, 3,
  • Iulian Filipov1 and
  • Mihai Săndulescu2, 3Email author
BMC Infectious Diseases201414(Suppl 7):P66

Published: 15 October 2014


Oral CavityIntravenous AntibioticParapharyngeal SpaceNearby RegionExcretory Duct


The parotid glad region inflammatory processes can be specific or non-specific. Non-specific inflammations usually have a bacterial etiology, and are caused by the extension of a suppuration from a nearby region – the oral cavity or the nasopharynx. Other contributing factors can be the obstruction of the excretory duct and the salivary lithiasis.

Case report

In this paper we present the case of an elderly woman with acute suppurative parotitis and parapharyngeal extension of the abscess. The patient had low hemoglobin levels, high uremic values and consequent tissue acidosis which determined an acute suppurative response. The patient underwent operative drainage of the abscess and removal of necrotic material. Intravenous antibiotics were also administered.


Suppurations in the parotid region can disseminate in the parapharyngeal space, which can lead to a life-threatening infection in the absence of surgical treatment. High uremic values and tissue acidosis can determine a very extensive suppuration.


Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.

Authors’ Affiliations

“Dan Theodorescu” Clinical Hospital of Oral and Maxillo-Facial Surgery, Bucharest, Romania
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Dental Concept Studio, Bucharest, Romania


© Chirilă et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.