Acute parotitis associated with COVID-19 - an unusual presentation: a report from Bangladesh perspective

Md. R. U. Chowdhury, Sahedul I. Bhuiyan, Bimal C. Das, Ashim K. Saha


COVID-19 affects different peoples in many unusual ways. An increasing number of atypical presentations of COVID-19 have already been reported worldwide. So, in this pandemic period, any unusual presentation of the patients, should keep in mind about the association of coronavirus disease 2019. Hence, it is very important to diagnose the case without any delay to make immediate intervention as well as to prevent the disease transmission among the health care workers and in the community. We report a case of a 62 years old male presented in the outpatient department with COVID-19 associated acute parotitis, later developed bilateral pneumonia. Though COVID-19 still is a mysterious disease, but presentation with acute parotitis is very atypical which made the case interesting. In this case, we want to explore the importance of unusual presentation associated with COVID-19, emphasize to keep COVID-19 as a differential of acute parotitis at any age, to alert all health care workers to handle any patients with personal protective equipment to prevent transmission and probably this is the first case of COVID-19 presented with acute parotitis in Bangladesh.


COVID-19, Acute parotitis, Severe acute respiratory syndrome coronavirus 2, Bangladesh

Full Text:



Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A Pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270-3.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus on Wuhan, China. Lancet Lond Engl. 2020;395(10223):497-506.

Tuli TC, Halima S, Ava AR, Islam QT. Unusual Presentation of COVID-19. A Case report. Bangladesh J Med. 2020,31(2):102106.

Uddin Chowdhury MR, Akter KS, Moula MM, Kabir MA, Bhuiyan SI, Sohan AM. COVID-19 presented with syndrome of inappropriate ADH Secretion (SIADH): a case report from Bangladesh. Respir Med Case Rep. 2020;101290.

Xu J, Li Y, Gan F, Du Y, Yao Y. Salivary Glands: Potential Reservoirs for COVID-19 Asymptomatic Infection. J Dent Res. 2020;99(8):989.

Wang WK, Chen SY, Liu IJ, Chen YC, Chen HL, Yang CF, et al. Detection of SARS-associated coronavirus in throat wash and saliva in early diagnosis. Emerging infectious diseases. 2004;10(7):1213.

Lau R, Turner M. Viral mumps: Increasing Occurance In the Vaccinated Population. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;128(4):386-92.

Wilson KF, Meier JD, Ward PD. Salivary gland disorders. Am Fam Physician. 2014;89(11):882-8.

Kessler AT, Bhatt AA. Review of the major and minor salivary glands, part 1: anatomy, infectious, and inflammatory processes. J Clin Imag Sci. 2018;8.

Fisher J, Monette D, Patel K, Kelley B, Kennedy M. COVID-19 associated parotitis: A case report. Am J Emerg Med. 2021;39:254.

To KKW, Tsang OTY, Leung WS. Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS‐CoV‐2: an observational cohort study. Lancet Infect Dis. 2020;20(5):565-74.

Aljurbua RM, Aldossary BJ, Alanazi FA, Aldossary SJ. COVID-19 Associated Parotitis in Pediatrics. Glob J Ped Neonatol Care. 2020;2(4).

Jahan Y, Rahman S, Rahman A. COVID-19: A case report from Bangladesh perspective. Respiratory Medicine Case Reports. 2020:101068.

Jahan Y, Rahman A. COVID-19: Challenges and viewpoints from low-and-middle-income Asian countries perspectives. J Safety Sci Resilience. 2020;1(2):70-2.