-IBIS-1.5.0-
tx
eyes/ears/nose/throat
mumps/parotitis
diagnoses
definition and etiology
definition: An acute, contagious, generalized viral disease, usually causing painful enlargement of the salivary glands, most commonly the parotids.
signs and symptoms
signs and symptoms:
14-24 day incubation period; onset occurs with prodrome:
chilly sensations
headache
anorexia
malaise
low to moderate fever which last 12-24 hours before glands swell
pain upon swallowing, especially acidic liquids
pain at angle of the jaw
temperature goes to 39.5°-40°C. =103°-104°F.
parotid swelling reaches maximum on second day
oral duct openings of glands are "pouting" and slightly inflamed
lab findings:
WBC count may be normal and reduction in granulocytes is normal
paired acute and convalescent serum antibody studies
elevated serum amylase
virus isolation from throat, CSF, and urine
course and prognosis
The associated microorganism, a paramyxovirus, is spread by droplet infection or direct contact with materials contaminated with infected saliva. It usually resolves in two weeks.
Orchitis occurs in 20% of postpubertal males and is usually unilateral; testicular atrophy may ensue. Other complications include: meningoencephalitis; pancreatitis; prostatitis; nephritis; myocarditis; mastitis; polyarthritis.
differential diagnosis
blocked salivary duct
infected parotid gland (e.g. staphylococcal infection)
TMJ disorder
pharyngitis
other EENT viral infections
footnotes