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    Sialadenitis Remastered

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    Anandhu Sudhakaran
    This document provides information about sialadenitis, including acute bacterial sialadenitis, viral sialadenitis, and their treatment. Acute bacterial sialadenitis typically involves the parotid gland and presents with swelling, pain, fever and redness. Histologically, it shows duct dilation and inflammation. Treatment involves early antibiotic therapy. Viral sialadenitis is commonly caused by mumps virus, presenting as painful salivary gland swelling. Diagnosis is usually clinical but can be confirmed by antibody testing. Treatment is symptomatic.

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    Sialadenitis Remastered

    Uploaded by

    Anandhu Sudhakaran
    25 views20 pages
    This document provides information about sialadenitis, including acute bacterial sialadenitis, viral sialadenitis, and their treatment. Acute bacterial sialadenitis typically involves the parotid gland and presents with swelling, pain, fever and redness. Histologically, it shows duct dilation and inflammation. Treatment involves early antibiotic therapy. Viral sialadenitis is commonly caused by mumps virus, presenting as painful salivary gland swelling. Diagnosis is usually clinical but can be confirmed by antibody testing. Treatment is symptomatic.

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    This document provides information about sialadenitis, including acute bacterial sialadenitis, viral sialadenitis, and their treatment. Acute bacterial sialadenitis typically involves the parotid gland and presents with swelling, pain, fever and redness. Histologically, it shows duct dilation and inflammation. Treatment involves early antibiotic therapy. Viral sialadenitis is commonly caused by mumps virus, presenting as painful salivary gland swelling. Diagnosis is usually clinical but can be confirmed by antibody testing. Treatment is symptomatic.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views20 pages

    Sialadenitis Remastered

    Uploaded by

    Anandhu Sudhakaran
    This document provides information about sialadenitis, including acute bacterial sialadenitis, viral sialadenitis, and their treatment. Acute bacterial sialadenitis typically involves the parotid gland and presents with swelling, pain, fever and redness. Histologically, it shows duct dilation and inflammation. Treatment involves early antibiotic therapy. Viral sialadenitis is commonly caused by mumps virus, presenting as painful salivary gland swelling. Diagnosis is usually clinical but can be confirmed by antibody testing. Treatment is symptomatic.

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    Department of Oral Pathology

    and Microbiology

    Seminar on,
    Sialadenitis
    Submitted by,
    Anandhu Sudhakaran
    Third year
    Contents
    Sialadenitis
    Acute bacterial sialadenitis
    Clinical features
    Histologic features
    Treatment
    Viral sialadenitis
    Diagnosis
    Differential diagnosis
    Treatment
    Sialdenitis
    • Inflammatory disorders of the major salivary
    glands are usually the result of bacterial or
    viral infection but occasionally sialadenitis is
    due to other causes, such as trauma,
    irradiation, and allergic reactions.
    Acute bacterial sialadenitis

    • This uncommon disorder principally involves


    the parotid gland.
    • Acute paroritis is an ascending infection, the
    main organisms involved being Streptococus
    pyogenes and Staphyfococus aureus.
    Clinical Features
    • The onset of acute sialadenitis is rapid.
    Clinically, it presents as swelling of the
    involved gland accompanied by pain, fever,
    malaise, and redness of the overlying skin.
    Pus may be expressed from the affected
    duct and pain is radiated to the ear and the
    temporal area.
    Histological Features
    • shows varying degrees of
    • 1. dilatation of the ductal system
    • 2. hyperplasia of duct epithelium
    • 3. periductal fibrosis
    • 4. acinar atrophy with replacement fibrosis
    • 5. chronic inflammatory cell
    • The duct obstruction, destruction of glandular
    tissue, and duct dilatation (sialectasia) may be
    demonstrated by sialography.
    Acute bacterial sialadenitis
    Treatment
    • Antibiotic therapy should be started early,
    with amoxicillin as the agent of first choice.
    • A loading dose of 3 g amoxicillin may be
    prescribed prior to therapy of (250-500mg) 3
    times daily for 5 days.
    CHRONIC BACTERIAL SIALADENITIS
    • It is a non specific inflammatory disease of the
    salivary gland secondary to duct obstruction or
    low grade sustained ascending infection.

    Clinical features

    • It frequently affects the parotid gland.


    • Dilatations of the ductal system is seen.
    • Hyperplasia of the ductal system.
    • Periductal fibrosis.
    • Chronic inflammatory cell infiltration.
    CHRONIC SIALADENITIS
    Viral sialadenitis
    • Mumps (epidemic parotitis)
    • It is the commonest cause of parotid
    enlargement and the commonest of all the
    salivary gland diseases.
    • Although infection can occur at any age, it is
    most common in childhood. The virus is
    transmitted by direct contact with infected
    saliva and by droplet spread, and has an
    incubation period of 2-3 weeks.
    • Non-specific prodromal symptoms of fever and
    malaise are followed by painful swelling of
    sudden onset involving one or more salivary
    glands.
    • In addition to salivary gland swelling, pain and
    tenderness, patients may complain of headeche.
    • The parotid glands are almost always involved,
    bilaterally in about 70 per cent of cases, and
    occasionally the submandibular and sublingual
    glands may be affected, but rarely without
    parotid involvement
    Diagnosis
    • The diagnosis of mumps is usually made on
    clinical grounds,but in atypical cases can be
    confirmed by the detection of IgM class
    antibodies and by the rise in serum antibody
    titre co mumps virus antigens which occurs
    within the first week.
    • After an attack immunity is long-lasting and
    so recurrent infection is rare.
    Differential Diagnosis

    • Sarcoidosis

    Tuberculosis

    Actinomycosis
    Treatment

    • Symptomatic treatment with the use of


    antipyretics, simple analgesics, fluid intake
    and rest.
    • Isolation is important
    THANK YOU

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