A 54-year-old with chronic alcohol use presents with painful swollen parotid gland and purulent discharge from Stensen's duct. Best first-line therapy...

Question

A 54-year-old with chronic alcohol use presents with painful swollen parotid gland and purulent discharge from Stensen's duct. Best first-line therapy?

Accepted Answer

Sialogogues and hydration; oral flucloxacillin

Answer

IV ceftriaxone

Answer

Metronidazole alone

Answer

Immediate incision and drainage

Answer

No antibiotics

ukmla MCQ (SBA): Acute bacterial parotitis

A 54-year-old with chronic alcohol use presents with painful swollen parotid gland and purulent discharge from Stensen's duct. Best first-line therapy?