Unilateral Parotitis in Pediatric Patients With RIME : A Report of Two Cases

Abstract

Reactive infectious mucocutaneous eruption (RIME) is a condition characterized by mucositis often accompanied by varying skin lesions, prodromal cough, fever, and malaise. Here we present two cases of otherwise healthy children with Mycoplasma-induced RIME who developed acute unilateral facial swelling due to parotitis. The parotitis in both cases was thought to result from obstruction of the parotid duct and resolved with management of RIME, local compresses, and massage. Parotitis as a complication of oral mucositis is an important clinical finding that should be recognized and managed promptly with standard RIME treatment and supportive care.