{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T12:01:59Z","timestamp":1784203319029,"version":"3.55.0"},"reference-count":18,"publisher":"Walter de Gruyter GmbH","issue":"12","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The diagnosis and management of parotitis can be challenging. Patients often present with pain and edema in the neck, jaw, head, and ear due to congestion of the gland. Parotitis is typically caused by an infection within the parotid gland and surrounding lymph nodes, and the infection can spread to nearby cervical fascial planes and cause major complications if not managed successfully. Specific guidelines for the outpatient management of parotitis are limited, and outpatient treatment failures are common, requiring inpatient therapy with multiple broad-spectrum antibiotics. In the current case, a comprehensive patient-centered approach was used to treat a woman whose overlapping clinical conditions, lifestyle, and work factors led to an infection of the parotid gland.<\/jats:p>","DOI":"10.7556\/jaoa.2017.152","type":"journal-article","created":{"date-parts":[[2017,11,27]],"date-time":"2017-11-27T20:30:46Z","timestamp":1511814646000},"page":"e137-e140","source":"Crossref","is-referenced-by-count":6,"title":["Challenging Case of Parotitis: A Comprehensive Approach"],"prefix":"10.1515","volume":"117","author":[{"given":"Puja","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Scott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2017,12,1]]},"reference":[{"issue":"4","key":"2022022615401145578_j_jaoa.2017.152_ref_001","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1089\/sur.2011.015","article-title":"Acute suppurative parotitis: a dreadful complication in elderly surgical patients","volume":"13","author":"Lampropoulos","year":"2012","journal-title":"Surg Infections"},{"issue":"1","key":"2022022615401145578_j_jaoa.2017.152_ref_002","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/00001665-200301000-00006","article-title":"Acute bacterial suppurative parotitis: microbiology and management","volume":"14","author":"Brook","year":"2003","journal-title":"J Craniofac Surg."},{"issue":"2","key":"2022022615401145578_j_jaoa.2017.152_ref_003","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.idc.2007.03.004","article-title":"Cervical lymphadenitis, suppurative parotitis, thyroiditis, and infected cysts","volume":"21","author":"Al-Dajani","year":"2007","journal-title":"Infect Dis Clin North Am"},{"key":"2022022615401145578_j_jaoa.2017.152_ref_004","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1053\/joms.2002.31234","article-title":"Management of acute suppurative parotitis","volume":"60","author":"Fattahi","year":"2002","journal-title":"J Oral Maxillofac Surg"},{"issue":"1","key":"2022022615401145578_j_jaoa.2017.152_ref_005","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/S0735-6757(99)90015-3","article-title":"Acute suppurative parotitis with spread to the deep neck spaces","volume":"17","author":"Cohen","year":"1999","journal-title":"Am J Emerg Med"},{"issue":"12","key":"2022022615401145578_j_jaoa.2017.152_ref_006","first-page":"776","article-title":"Benefits of osteopathic manipulative treatment for hospitalized elderly patients with pneumonia","volume":"100","author":"Noll","year":"2000","journal-title":"J Am Osteopath Assoc"},{"key":"2022022615401145578_j_jaoa.2017.152_ref_007","first-page":"576","article-title":"Osteopathic cranial manipulative medicine","volume-title":"The Atlas of Osteopathic Techniques","author":"Nicholas","year":"2016","edition":"3rd ed."},{"key":"2022022615401145578_j_jaoa.2017.152_ref_008","first-page":"92","article-title":"Soft tissue techniques","volume-title":"The Atlas of Osteopathic Techniques","author":"Nicholas","year":"2016","edition":"3rd ed."},{"key":"2022022615401145578_j_jaoa.2017.152_ref_009","first-page":"437","article-title":"Techniques of Still","volume-title":"The Atlas of Osteopathic Techniques","author":"Nicholas","year":"2016","edition":"3rd ed."},{"key":"2022022615401145578_j_jaoa.2017.152_ref_010","first-page":"157","article-title":"Counterstrain techniques","volume-title":"The Atlas of Osteopathic Techniques","author":"Nicholas","year":"2016","edition":"3rd ed."},{"issue":"2","key":"2022022615401145578_j_jaoa.2017.152_ref_011","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.otc.2015.10.002","article-title":"Facial nerve and parotid gland anatomy","volume":"49","author":"Kochhar","year":"2016","journal-title":"Otolaryngol Clin North Am"},{"issue":"2","key":"2022022615401145578_j_jaoa.2017.152_ref_012","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/0010-440X(73)90010-2","article-title":"Acute parotitis associated with depression and psychoactive drug therapy","volume":"14","author":"Rosen","year":"1973","journal-title":"Comprehensive psychiatry"},{"key":"2022022615401145578_j_jaoa.2017.152_ref_013","first-page":"74","article-title":"The fascial system of the body","volume-title":"Foundations of Osteopathic Medicine","author":"Willard","year":"2011","edition":"3rd ed."},{"key":"2022022615401145578_j_jaoa.2017.152_ref_014","volume-title":"The lymphatics. 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