The Correct Answer is E
The patient has acute suppurative sialadenitis which is caused by coagulase-positive Staphylococcus aureus, Streptococcus pneumoniae, and other bacteria. The patient therefore needs treatment with antibiotics. Tuberculosis is a rare cause. Cat scratch disease involves the lymph glands, not the salivary glands. A CT scan may be indicated if there is no improvement, or if a tumor is suspected.
Ref: Rice DH: Salivary gland disorders: Neoplastic and non neoplastic. Med Can North Am 1999; 83(1): 197-218.
Category:
Surgery MCQs
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