Obstructive Sialadenitis Secondary to Parotic Sialolithiasis: a Case Report
Abstract In this report we present a patient with parotic sialolithiasis with acute obstructive sialadenitis. Intra-oral examination disclosed a salivary stone protruding from the left parotid salivary duct. The sialolith was removed and purulent drainage with a foul odor was immediately produced from the parotic duct. Quantitative culture yielded 1·68 × 10 8 CFU/mL bacterial growth consisting of Actinomyces species, Bacteroides forsythus, Campylobacter species, Mitsuokella dentalis, Prevotella intermedia, Propionibacterium species, coagulase-negative Staphylococcus 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 cultured utilizing adequate anaerobic isolation methods.