{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T20:48:58Z","timestamp":1768682938408,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,5,21]]},"abstract":"<jats:p>Acute neonatal parotitis (ANP) is a rare condition, characterised by parotid swelling and other local inflammatory signs. The most common pathogen is <jats:italic>Staphylococcus aureus<\/jats:italic>, but other organisms can be implicated. We describe the case of a 13-day-old term newborn, previously healthy, with late-onset group B <jats:italic>Streptococcus<\/jats:italic> (GBS) bacteraemia with ANP, who presented with irritability, reduced feeding and tender swelling of the right parotid. Laboratory evaluation showed neutrophilia, elevated C reactive protein and procalcitonin, with normal serum amylase concentration. Ultrasound findings were suggestive of acute parotitis. Empiric antibiotic therapy was immediately started and adjusted when culture results became available. The newborn was discharged after 10\u2005days, with clinical improvement within the first 72\u2005h. Although <jats:italic>S. aureus<\/jats:italic> is the most common pathogen implicated in ANP, GBS should be included in the differential diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2014-209115","type":"journal-article","created":{"date-parts":[[2015,6,10]],"date-time":"2015-06-10T13:53:48Z","timestamp":1433944428000},"page":"bcr2014209115","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Group B streptococcal neonatal parotitis"],"prefix":"10.1136","volume":"2015","author":[{"given":"Filipa","family":"Dias Costa","sequence":"first","affiliation":[{"name":"Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal"},{"name":"Pediatric Department, Coimbra Hospital and University Centre, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Ramos Andrade","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Coimbra Hospital and University Centre, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipa In\u00eas","family":"Cunha","sequence":"additional","affiliation":[{"name":"Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agostinho","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Pediatric Department, Figueira da Foz Hospital, Figueira da Foz, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,6,10]]},"reference":[{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.04.003"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2011.04.002"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2009.01632.x"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.4","doi-asserted-by":"publisher","DOI":"10.1157\/13108082"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.5","doi-asserted-by":"publisher","DOI":"10.1177\/0009922809360928"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.6","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199111000-00002"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.7","doi-asserted-by":"publisher","DOI":"10.1016\/S1695-4033(04)78219-3"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.8","first-page":"233","article-title":"Parotidite neonatal a Streptococcus do grupo B","volume":"16","author":"Oliveira","year":"2007","journal-title":"Nascer Crescer"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.9","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000105181.74169.16"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.10","first-page":"689678","article-title":"Case report: acute neonatal parotitis with late-onset septic shock due to Streptococcus agalactiae","volume":"2014","author":"Boulyana","year":"2014","journal-title":"Case Rep Pediatr"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.11","doi-asserted-by":"publisher","DOI":"10.1007\/s004310051079"},{"key":"2025082800004157000_2015.jun10_1.bcr2014209115.12","first-page":"17","article-title":"Parotidite bacteriana neonatal","volume":"34","author":"Aguiar","year":"2003","journal-title":"Acta Pediatr Port"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-209115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:00:50Z","timestamp":1756364450000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-209115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,10]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-209115"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-209115","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,10]]}}}