With the use of non invasive nasal devices to augment ventilation in neonates complications of parotitis or arthritis may occur. If bacterial than it should be considered as nosocomial or HAI hospital acquired infection. A 16-day male neonate was admitted with swelling on right side of face and excessive crying for 2 days, and restricted movement of right shoulder. Pus came out from parotid duct opening and grew staph Methicillinresistant Staphylococcus aureus (MRSA) sensitive to vancomycin; he also needed surgical drainage of swelling. Stringent and monitored aseptic precautions and oral toilet will prevent such cases.

Keywords: Neonatal; Parotitis; Shoulder arthritis; Nasal prong; Orogastric tube; Sialadenitis.