A female 19 yo patient, student, swelling and pain in the parotid glands about a week, not fever.
Images of parotid gland ultrasonography showed multiple structures within the parotid glands on either side, hypoechoic, well-defined, measuring approximately 5 - 12 mm, with the umbilical node. She was diagnosed inflammation of the parotid glands and indicated for ten days of antibiotic treatment (cephalosporin 3 and fluoroquinolon).
But parotid glands swelling continuosly, ultrasound images still showed images more nodules in the parotid glands,and antibiotics for ten days again. Next follow-up visit parotid glands biopsy was done, and result showed chronic salivary glands inflammation.
Patient was sent to hospitalization Ho Chi Minh city in dentomaxillofacial center for 2 weeks of antibiotics as Sjogren syndrome. Parotid glands still swollen and had discharge line to detect skin. And she returned to MEDIC for parotid gland ultrasound.
Ultrasound image showed multiple hypoechoic structures with liquid inside, well-defined, proliferative vascular supplying, created road detect skin.
MSCT with CE showed parotid gland hypertrophy, having multiple lesions with fluid density in the central area.
Parotid gland biopsy showed salivary gland with Langhans great cells.
