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Images in paediatrics
Cat scratch disease of the parotid gland
  1. Ashleigh Hollitt1,
  2. Jim Buttery1,2,3,
  3. Jeremy Carr1,
  4. Yuen Chan4,
  5. Michael Ditchfield2,3,5,
  6. David Burgner6,1,2,3
  1. 1Infection and Immunity, Monash Children's Hospital, Clayton, Victoria, Australia
  2. 2Department of Paediatrics, Monash University, Clayton, Victoria, Australia
  3. 3Murdoch Childrens Research Institute, Melbourne Children's Campus, Parkville, Victoria, Australia
  4. 4Department of Pathology, Monash Medical Centre, Clayton, Victoria, Australia
  5. 5Department of Diagnostic Imaging, Monash Children's Hospital, Clayton, Victoria, Australia
  6. 6Department of Paediatrics, Melbourne University, Parkville, Australia
  1. Correspondence to Dr David Burgner, Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; david.burgner{at}

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Case report

A previously well 10-year-old girl presented to the hospital on three occasions over a 2-week period with worsening right-sided cheek swelling and pain. Examination was unremarkable apart from obvious swelling of the right cheek and cervical lymphadenopathy (figure 1). An initial diagnosis of suppurative parotitis was made, and she was treated with oral flucloxacillin. Over the following week, pain and swelling worsened, and she developed fever, nausea, trismus and dizziness.

Figure 1

The patient at presentation. Marked unilateral …

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  • Contributors The case for this manuscript was identified by DB. DB, JC and JB were involved in managing the case. The manuscript was drafted by AH. Radiographic images were selected and annotated by MD. Histology images were selected and annotated by YC. All authors were involved in editing of the manuscript, and gave final approval for publishing.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.