Salivary Gland Inflammation (Sialadenitis): Complications

The most important diseases or complications that can be caused by sialadenitis (salivary gland inflammation) are:

Eyes and eye appendages (H00-H59).

  • Inflammation of the eyes [parotitis epidemica]
  • Dacryoadenitis (inflammation of the lacrimal glands) [parotitis epidemica]
  • Keratoconjunctivitis sicca (“dry eyes”) [Sjögren’s or Sicca syndrome]

Certain conditions originating in the perinatal period (P00-P96).

Blood, blood-forming organs – immune system (D50-D90).

  • Anemia (anemia) [parotitis epidemica/mumps]
  • Werlhof’s disease (thrombocytopenic purpura; form of idiopathic thrombocytopenic purpura (ITP)) [Parotitis epidemica]

Endocrine, nutritional, and metabolic diseases (E00-E90).

Skin and subcutaneous tissue (L00-L99)

  • Extraoral fistulization [sialolithiasis (salivary stone disease)]

Cardiovascular system (I00-I99)

  • Myocarditis (inflammation of the heart muscle) with ECG changes (I41.1) [parotitis epidemica].
  • Pericarditis (inflammation of the pericardium) [Coxsackie viral disease] [infection with staphylococci]

Infectious and parasitic diseases (A00-B99).

  • Acute rheumatic fever [infection with group A β-hemolytic streptococci]
  • Dissemination of pathogenic agents via blood and lymphatic circulation.

Liver, gallbladder and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87).

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

  • Abscess formation (formation of a pus cavity) [chronic recurrent parotitis; sialolithiasis].
  • Chronification of sialadenitis
  • Irreversible damage to the glandular parenchyma of the parotid gland due to increased pressure within the parotid capsule [parotitis].
  • Irreversible damage to the ductal system
  • Caries susceptibility [sialadenitis with xerostomia (dry mouth)]
  • Lockjaw with infection of the parotid lodge [parotitis].
  • Küttner tumor [chronic recurrent sialadenitis of the gl. submandibularis]
  • Osteomyelitis risk during dental surgical procedures [radiation sialadenitis].
  • Salivary gland atrophy
  • Salivary gland fistula, intraoral
  • Stenoses (narrowing) and strictures (high-grade narrowing).

Musculoskeletal system and connective tissue (M00-M99).

Neoplasms – tumor diseases (C00-D48).

  • Non-Hogkin’s lymphoma (lymph node cancer) [chronic myoepithelial sialadenitis (MESA)/Sjögren’s syndrome/Sicca syndrome]

Ears – mastoid process (H60-H95).

  • Transient (temporary) high-frequency deafness [approximately 4% in parotitis epidemica].
  • Persistent unilateral deafness (permanent unilateral deafness) [1 in 20,000 cases in parotitis epidemica]

Psyche – Nervous System (F00-F99; G00-G99).

  • Encephalitis (inflammation of the brain) [in parotitis epidemica less than 1% (G05.1)]
  • Aseptic meningitis (meningitis) [parotitis epidemica 1 to 10% (G02.0)]
  • Myelitis (inflammation of the spinal cord) [parotitis epidemica]
  • Polyneuropathy [parotitis epidemica (G63.0)]
  • Seizure disorder following CNS involvement.
  • Irritation of the facial nerve [rarely, with deep inflammatory infiltration of purulent parotitis].
  • Facial nerve damage [due to parotidectomy]
  • [extirpation of the submandibular gland] damage of
    • Lingual nerve
    • Ramus marginalis mandibulae of the facial nerve
    • Hypoglossal nerve

Pregnancy, childbirth and puerperium (O00-O99).

Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99).

  • [Parotitis epidemica/mumps.]
    • [Epididymitis (inflammation of the epididymis)]
    • Mastitis (inflammation of the mammary glands)
    • Nephritis (inflammation of the kidneys)
    • Orchitis (testicular inflammation)
      • Testicular atrophy 40 to 70% of cases.
      • Abnormal spermiogram (sperm examination) up to 25% of cases.
      • very rarely sterility (infertility)
    • Oophoritis (ovarian inflammation) up to 5% of cases.