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Mumps/Parotitis, Pediatric

Camille Sabella, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Centers for Disease Control and Prevention (CDC) clinical case definition for mumps: illness with acute onset of unilateral or bilateral, tender, self-limited swelling of the parotid...

DIAGNOSIS

HISTORY

  • Prodromal symptoms uncommon but may include the following:

    • Fever

    • Anorexia

    • Myalgia

    • Headache

  • Onset usually pain and swelling in front of and below ear

  • Swelling

    • Usually starts on one side of th...

TREATMENT

GENERAL MEASURES

  • Supportive therapy is all that is required in mumps parotitis.

  • Antibiotics directed against S. aureus should be used in cases of suppurative parotitis.

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Most children have resolution of glandular swelling by ~1 week.

  • Disappearance of testicular pain and swelling can be expected 4 to 6 days after onset.

  • Testicular at...

ADDITIONAL READING

  • Albertson JP, Clegg WJ, Reid HD, et al. Mumps Outbreak at a University and Recommendation for a Third Dose of Measles-Mumps-Rubella Vaccine—Illinois, 2015–2016. MMWR Morb Mortal Wkl...

CODES

ICD9

  • 072.9 Mumps without mention of complication

  • 072.79 Other mumps with other specified complications

  • 072.0 Mumps orchitis

  • 072.3 Mumps pancreatitis

  • 072.1 Mumps meningitis

  • 072.2 Mumps encephalitis

  • 072....

FAQ

  • Q: Should immunization be deferred in children with intercurrent illness?

  • A: No. Children with minor illnesses, even with fever, should be vaccinated.

  • Q: Should vaccination be withheld in children l...

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