{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T05:15:39Z","timestamp":1763442939849,"version":"3.45.0"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Acute suppurative parotitis is common in primary Sj\u00f6gren syndrome due to parotid gland dysfunction.\n                      <jats:italic>Streptococcus gordonii<\/jats:italic>\n                      is an aggressive pathogen but is rarely reported in acute suppurative parotitis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>\n                      A 64-year-old woman with primary Sj\u00f6gren syndrome, history of periodontitis, and recurrent parotid swelling developed acute suppurative parotitis from\n                      <jats:italic>Streptococcus gordonii<\/jats:italic>\n                      , quickly leading to sepsis. The pathogen was confirmed via pus and blood cultures, and effective antimicrobial treatment was initiated promptly, controlling the condition.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This case highlights the rapid progression of\n                      <jats:italic>Streptococcus gordonii<\/jats:italic>\n                      -induced acute suppurative parotitis to sepsis, emphasizing the importance of primary Sj\u00f6gren syndrome screening and managing periodontal infections in patients with recurrent parotid swelling.\n                    <\/jats:p>\n                  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