Abstract
A 21-month-old male presented with fever, dehydration and severe trismus. A computerized tomogram of the head and neck was obtained that showed inflammatory stranding involving the right pterygoid, masseter and parotid spaces as well as fluid collection within the right pterygoid (masticator) space. Intraoral drainage was successful. S. Aureus was identified on culture from the drainage site. No apparent focus of infection was identified. Appropriate antibiotics were given and the patient recovered. It is postulated that an ascending infection from the oral cavity to the parotid gland with subsequent involvement of the right masticator space occurred.
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