An Unusual Presentation of Parotid Abscess: Otorrhea

Acute suppurative parotitis and parotid gland abscess are infrequently seen in children. Ductal ectasis, primary parenchymal involvement or from a suppurative infection of the lymph nodes cause suppurative changes and leads to abcess formation. Various bacteria have been reported to be involved in the bacterial parotitis and abscesses; Staphylococcus aureus plays a major role both in adults, and in pediatrics patients, while in infant recurrent parotitis, Streptococcus spp. are the most recurrent isolated organisms. The pus may penetrates the capsule, invades the surrounding tissue, and extends into the deep fascial planes, backward into the external auditory canal as in our case, or outward into the facial skin.