Suppurative parotitis is an uncommon entity identified in newborns. While Staphylococcus aureus has been frequently identified as the causative pathogen among the few patients diagnosed with neonatal suppurative parotitis (NSP), there has only been one prior case described in the literature that was due to methicillin-resistant Staphylococcus aureus (MRSA). Because of its virulence, MRSA presents new and substantial challenges for the surgeon; we describe two cases of NSP caused by MRSA and the subsequent surgical intervention necessitated for cure. We also include a review of all cases of NSP described in the English-language literature.
Neonatal suppurative parotitis (NSP) is an uncommon illness in the neonate. The authors' current review revealed only 45 published cases in the English-language literature; other authors quote figures of approximately 100 cases in the international literature through 1992.1 This relatively rare entity generally responds well to antibiotic therapy but does have the potential for serious complications.1,2