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CASE REPORT article

Front. Med.

Sec. Infectious Diseases: Pathogenesis and Therapy

Case Report: Streptococcus gordonii Triggering Suppurative Parotitis and Sepsis in a Patient with Sjögren Syndrome

Provisionally accepted
Ye  WangYe Wang1Lin-Feng  GongLin-Feng Gong2Ze-Kun  WangZe-Kun Wang1Hong-Bo  QianHong-Bo Qian1Xiao-Qing  WuXiao-Qing Wu1*
  • 1Shaanxi Provincial Hospital of Infectious Diseases, Xi’an, China
  • 2Sun Yat-Sen University, Guangzhou, China

The final, formatted version of the article will be published soon.

Background: Acute suppurative parotitis is common in primary Sjögren syndrome due to parotid gland dysfunction. Streptococcus gordonii is an aggressive pathogen but is rarely reported in acute suppurative parotitis. Case Summary: A 64-year-old woman with primary Sjögren syndrome, history of periodontitis, and recurrent parotid swelling developed acute suppurative parotitis from Streptococcus gordonii, quickly leading to sepsis. The pathogen was confirmed via pus and blood cultures, and effective antimicrobial treatment was initiated promptly, controlling the condition. Conclusion: This case highlights the rapid progression of Streptococcus gordonii-induced acute suppurative parotitis to sepsis, emphasizing the importance of primary Sjögren syndrome screening and managing periodontal infections in patients with recurrent parotid swelling.

Keywords: Streptococcus gordonii, Sjögren syndrome, Suppurative parotitis, Sepsis, case report

Received: 16 Jul 2025; Accepted: 24 Oct 2025.

Copyright: © 2025 Wang, Gong, Wang, Qian and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xiao-Qing Wu, 578171639@qq.com

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