بدء حاد لألم وتورم الغدة اللعابية تحت الفك مع حساسية موضعية شديدة وإفراز صديدي

References

1. Patients with acute sialadenitis typically present with acute onset of pain and swelling of the affected gland.
2. Physical examination may reveal induration, edema, and extreme localized tenderness.
3. Massage of the gland may express pus from the respective intra-oral orifice.
4. Empiric antimicrobial therapy is initially directed at gram-positive and anaerobic organisms, which are often penicillin-resistant, so augmented penicillin that contains beta-lactamase inhibitors (e.g., amoxicillin-clavulanate [Augmentin]) are recommended.
5. This includes stimulation of salivary flow by application of warm compresses, administration of sialagogues such as lemon drops or vitamin C lozenges, hydration, salivary gland massage, and oral hygiene.
6. Culture-directed therapy is administered, if possible.