Infect Chemother.  2003 Jun;35(3):170-173.

A Case of Klebsiella pneumoniae Parotitis with Bacteremia

• Kim JY
• Lee SO
• Choi SH
• Kim NJ
• Choi SH
• Woo JH
• Kim YS
• Ryu J

Abstract

Acute bacterial parotitis is primarily a disease of the aged and clinically ill patients. Dehydration, dry mouth resulting from surgery or medication use, sialolithiasis, malnutrition and systemic illness are prominent predisposing factors. Staphylococcus aureus is the most common pathogen associated with acute bacterial parotitis. However, streptococci, gram-negative bacteria, and anaerobes have also been reported to be associated with the disease. Nevertheless, acute parotitis caused by Klebsiella pneumoniae has never been earlier reported in Korea. We describe a case of acute parotitis which developed in a 73 year-old women with K. pneumoniae bacteremia. In this case, the patient initially received supportive care. Oral amoxicillin/clavulanic acid were initiated because the painful swelling of the left parotid gland, and overlying erythema was aggravated and pus from Stensen's duct was drained. She complained of fever in spite of oral amoxicillin/claulanic acid administration for 4days. Then, the antibiotics were switched to intravenous ampicillin/sulbactam, and the patient recovered fully after 2 weeks of intravenous antibiotics therapy.

Keyword

Klebsiella pneumoniae; Parotitis; Bacteremia

MeSH Terms

Aged
Anti-Bacterial Agents
Bacteremia*
Causality
Dehydration
Erythema
Female
Fever
Gram-Negative Bacteria
Humans
Klebsiella pneumoniae*
Klebsiella*
Korea
Malnutrition
Mouth
Parotid Gland
Parotitis*
Pneumonia
Salivary Ducts
Salivary Gland Calculi
Staphylococcus aureus
Suppuration
Anti-Bacterial Agents