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Mumps

Frances Yung-tao Wu, MD Reviewed 06/2022
 


BASICS

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

DESCRIPTION

  • Can be asymptomatic in 30% of nonimmune individuals and 60% of...

DIAGNOSIS

HISTORY

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

  • Clinical diagnosis: swelling of one or both parotid glands possibly 12-25 days after exposure. Ask about travel or crowded envi...

TREATMENT

  • No specific antiviral therapy; supportive care (3)[A]

  • Immediately place mask on patients with any suspected mumps exposures who present for evaluation to decrease transmission.

  • Analgesics to ...

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 (5 days ...

REFERENCES

1
Hvild A, Hansen JV, Frisch M, et al. Measles, Mumps, Rubella Vaccination and Autism, a Nationwide Cohort Study. Ann Int Med. 2019 Sep 3;171(5):388.
2
Fiebelkorn  AP, L...

ADDITIONAL READING

  • Khan B, Nasir S, Hanif S. Bilateral Optic Neuritis: A Rare Complication of Mumps. Cureus. 2020 Apr 21;12(4):e7768. 

  • Kitano T. Close the gap ...

SEE ALSO

CDC Surveillance Manual 

CODES

ICD10

  • B26.3 Mumps pancreatitis

  • B26.2 Mumps encephalitis

  • B26.81 Mumps hepatitis

  • B26.0 Mumps orchitis

  • B26.82 Mumps myocarditis

  • B26.84 Mumps polyneuropathy

  • B26.9 Mumps without complication

  • B26.89 Other 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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