Rocky Mountain spotted fever occasionally leads to an inflammation of the parotid gland, which is located within the cheek tissue. The parotid gland manufactures and delivers saliva through a duct leading from the gland to the mouth. When the parotid gland is inflamed, it becomes swollen and painful, appearing as a swelling on the side of the face. It can also become difficult to chew or to swallow food when the parotid gland is inflamed.

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