Parotitis pada Anak Usia 15 Tahun di Rumah Sakit Umum Daerah Cut Meutia Aceh Utara

Abstract

Epidemic parotitis is a viral infectious disease affecting the parotid glands, most commonly caused by viruses from the Paramyxovirus group. It primarily occurs in children who have not received complete immunization and is generally a self-limiting disease. This case report aims to describe the clinical features, diagnosis, and management of epidemic parotitis in a pediatric patient. A 15-year-old boy presented with swelling of the right cheek extending to the neck two days prior to hospital admission, accompanied by fever, tenderness, nausea, vomiting, decreased appetite, and productive cough. Physical examination revealed a tender and warm enlargement of the right parotid gland without signs of systemic complications. Laboratory investigations, including complete blood count and serological tests, were within normal limits. Based on clinical history, physical examination, and supporting investigations, the patient was diagnosed with epidemic parotitis. Management consisted of supportive therapy, including adequate rest, hydration, antipyretics, analgesics, anti-inflammatory drugs, and antibiotics to prevent secondary infection. The patient showed gradual clinical improvement during hospitalization, and no complications were observed. He was discharged after five days of treatment in improved condition. This case highlights the importance of accurate clinical diagnosis, appropriate supportive management, and immunization in preventing epidemic parotitis in children.