Acute suppurative parotitis caused by a fish bone: a case report

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A 57-year-old woman was referred to our clinic because of swelling, redness, and severe pain of the right parotid region. Examination revealed swelling with redness of the papilla of Stensen's duct and some pus discharge from it. Intravenous Cefotiam 1 g twice a day for 3 days improved the symptoms. After 3 days, a foreign body which appeared to be a fish bone was visible at the opening of the parotid duct (Fig. 1) and was removed with a forceps. Cefotiam was continued for another 2 days for a total of 5 days. Removal of the fish bone resulted in quick resolution of the patient's symptoms. Histologic examination revealed needleshaped calcified material consistent with a fish bone. Attached bacterial colonies and cellular components were found around the calcified tissue.

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