OBSTRUCTIVE SIALADENITIS SECONDARY TO PAROTIC SIALOLITHIASIS - A CASE-REPORT

In this report we present a patient with parotic sialolithiasis with a cute obstructive sialadenitis. Intra-oral examination disclosed a sali vary stone protruding from the left parotid salivary duct. The sialoli th was removed and purulent drainage with a foul odor was immediately produced from the parotic duct. Quantitative culture yielded 1.68 x 10 (8) CFU/mL bacterial growth consisting of Actinomyces species, Bactero ides forsythus, Campylobacter species, Mitsuokella dentalis, Prevotell a intermedia, Propionibacterium species, coagulase-negative Staphyloco ccus species and 'Streptococcus milleri'. Our report illustrates that high numbers of anaerobes may be present in salivary gland infections and therefore pus obtained from sialadenitis lesions should be culture d utilizing adequate anaerobic isolation methods. (C) 1996 Academic Pr ess