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Agata Ogonowski Bizos

Registrar/Resident at the University of Cape Town, South Africa, South Africa

Title: Fungal abscess of the parotid gland – the value of microbiological assessment

Abstract

Fungal parotitis is rare and the sequela parotid abscess exceedingly so. We report our experience with Candida glabrata and Candida albicans parotid gland abscesses in critically ill HIV Positive patients and highlight the value of microbiological assessment to tailor management. These two cases described depict the importance of primary management of a fungal parotid abscess via surgical source control and thereafter, culture directed antifungal therapy to avoid resistance. Our  approach  was  to  manage  parotid abscesses  in  two  different ways as determined by the general clinical condition of  the  patient,  with  both  having  acceptable  and  clinically  successful  outcomes.  Serial  aspiration  may  be  considered  as initial first-line therapy. However, progression to incision and  drainage  may  be  considered  in  order  to  obtain  source  control in recalcitrant or complicated infections.


Biography

Dr Agata Bizos is a Junior Registrar at the University of Cape Town, South Africa. She has completed a Bachelor of Medicine and Surgery (MBBCh) in addition to a Bachelor of Health Sciences (BHSc.) from The University of Witwatersrand in South Africa.