Agata Ogonowski Bizos
Registrar/Resident at the University of Cape Town, South Africa, South AfricaTitle: 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.