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Mumps

Frances Y. Wu, MD, FAAFP Reviewed 06/2019
 


BASICS

An acute, generalized paramyxovirus infection typically presenting with unilateral or bilateral parotitis 

DESCRIPTION

  • Can be asymptomatic in 1/3 of nonimmune individuals and 60% of previously va...

DIAGNOSIS

HISTORY

  • Parotid swelling peaks in 1 to 3 days; lasts 3 to 7 days

  • Clinical diagnosis (swelling of one or both parotid glands):

    • Lasting ≥2 days

    • No other apparent cause

    • Meningitis without parotitis ...

TREATMENT

  • No specific antiviral therapy; supportive care (2)[A]

  • Analgesics to relieve pain

  • Avoid corticosteroids for mumps orchitis because they can reduce testosterone and increase testicular atrophy.

  • I...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Mumps orchitis: 
  • Bed rest and local supportive clothing (e.g., two pairs of briefs) or adhesive-tape bridge

  • Withhold from school until no longer contagious (9 days ...

REFERENCES

1
Fiebelkorn AP, Lawler J, Curns AT, et al. Mumps postexposure prophylaxis with a third dose of measles-mumps-rubella vaccine, Orange County, New York, USA. Emerg Infect Dis.  2013;19(9...

ADDITIONAL READING

  • Morita S, Fujiwara K, Fukuda A, et al. The clinical features and prognosis of mumps-associated hearing loss: a retrospective, multi-institutional investigation in Japan. Acta Otolar...

CODES

ICD10

  • B26.9 Mumps without complication

  • B26.1 Mumps meningitis

  • B26.2 Mumps encephalitis

  • B26.0 Mumps orchitis

  • B26.83 Mumps nephritis

  • B26.89 Other mumps complications

  • B26.84 Mumps polyneuropathy

  • B26.82 Mum...

CLINICAL PEARLS

  • Mumps is a clinical diagnosis based on swelling of ≥1 parotid glands for ≥2 days without other obvious cause. Confirm with buccal swab PCR, viral culture, and IgM and IgG serology to i...

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