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Mumps

Frances Yung-tao Wu, MD Reviewed 06/2018
 


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 parotiti...

TREATMENT

  • No specific antiviral therapy, only supportive care (3)[A],(4)[C]

  • Analgesics to relieve pain

  • Avoid corticosteroids for mumps orchitis as they can reduce testosterone and increase testicular at...

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
Mailand MP, Frederiksen JL. Vaccines and multiple sclerosis: a systematic review. J Neurol.  2017;264(6):1035–1050. [View Abstract on OvidMedline]
2
Fiebelkorn AP, Lawler J, Curns AT, ...

ADDITIONAL READING

  • Bernstein HH, Bocchini JAJr; for the Committee on Infectious Diseases. The need to optimize adolescent immunization [published online ahead of print February 6, 2017]. Pediatrics. ...

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. Confirmatory testing must be done in epidemic settings.

  • Ultrasound is usefu...

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