Facial swelling in newborn

DOI: 10.1590/S1679-45082014AI2606 A 22-day-old male infant, the first child of nonconsanguineous parents, who was delivered from a followed-up and normal pregnancy, and without alterations in analytical and echographic evaluation. He was born by cesarean section at 39 weeks, because the labor failed to progress, with Apgar score of 9 at 1 minute and of 10 at 5 minute, weighting 3,240g at birth without intercurrences in the neonatal period. The newborn was exclusively breastfed with adequate weight gain (with 22 days of life he weighed 3,650g). The infant was admitted to the urgency service with mild fever, swelling, preauricular flushing and effacement of the mandibular angle with 1 day of evolution (Figure 1). At examination we detected a purulent exudate exiting Stensen’s duct (Figure 2). Figure 1. Swelling and left preauricular flushing Figure 2. Purulent drainage from Stensen’s duct