Abstract

Chronic Juvenile Recurrent Parotitis in an 8-Year-Old Patient: A Case Report

Background: Chronic Juvenile Recurrent Parotitis (CJRP), a nonsuppurative, nonobstructive, recurrent inflammation of the parotid gland, is a rare cause of parotid swelling in children presenting with multiple episodes of swelling over years, often accompanied by fever, with or without pain or discomfort. This work aimed to present a case report that highlights the signs and symptoms of this unusual condition and focuses on the value of ultrasonography to aid in the diagnosis. Methodology: A 8 years old female presented to the ENT outpatient department with complaints of multiple episodes of bilateral painful swelling below the ears for the past 1 year and had no significant past medical or surgical history. Discussion: On examination, the child was afebrile with bilateral parotid swelling, more on the right side, both sides being smooth, firm in consistency, and non-tender. All her blood investigations were within normal limits. Ultrasonography of the parotid glands revealed bilateral coarse, heterogeneous internal echogenicity and nodular hypoechoic areas suggesting sialectasis, scattered parenchymal calcifications, and fibrous septa (more on the left side). A diagnosis of bilateral chronic parotitis was made. The child was treated with an analgesic, antipyretic, antibiotic (co-amoxiclav), good oral hygiene, mouthwash, and adequate fluid intake during each episode. She has been asymptomatic for the last 15 months and is under regular follow-up. Conclusion: Even though rare, bilateral recurrent parotid swelling in children can be chronic juvenile recurrent parotitis and needs early diagnosis and prompt treatment.

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