DOI: https://doi.org/10.36347/sjmcr.2025.v13i12.002

Pages: 2915-2917

Introduction: Salivary gland pathology in children is complex and poses diagnostic and therapeutic challenges. Objective: To analyze the epidemiological, clinical, paraclinical, therapeutic, and evolutionary aspects of parotid pathologies. Materials and methods: We conducted a retrospective study on a series of four cases of parotitis collected in the Pediatrics A department of the Mohammed VI University Hospital in Marrakech between April 2016 and November 2022. Results: The patients included three boys (75%) and one girl (25%), with a mean age of 7 years (45 days to 11 years). The clinical symptoms were dominated by cervicofacial swelling in all patients, pain in all patients (100%), and cervical lymphadenopathy in three patients (75%), with pus discharge through the Stenon duct in 25%. The average time to consultation was 11 days. It should be noted that two cases were classified as acute suppurative parotitis (50%), while the other two were recurrent juvenile parotitis (50%). Cervical ultrasound was the most commonly requested paraclinical examination in our patients (100%). Immunodeficiency testing was negative in all patients. Puncture was performed in 50% of cases, with isolation of streptococcus in 25% of cases and staphylococcus aureus in 25% of cases. Staphylococcus aureus in 25% of cases. Drainage was performed in only one patient. Treatment consisted of antibiotic therapy in 100% of cases, with amoxicillin clavulanic acid in 75% and C3G in 25% of cases. A favorable outcome was observed in 75% of cases, with resolution of clinical symptoms. An increase in the number of flare-ups in a patient with recurrent juvenile parotitis justified a cervical-facial MRI. Conclusion: Parotitis is a heterogeneous entity. The etiological diagnosis is guided by clinical and radiological findings and is based on bacteriological analysis of the puncture. A delayed diagnosis combined with inadequate initial treatment further worsens the prognosis.