It is the acute viral infection
characterized by painful enlargement of salivary gland (Parotid gland).
Caused by the paramyxovirus.
Mode of the spread is droplet infection,
direct contact and fomites containing saliva and urine
Incidence high in winter and spring
Clinical Features
 |
| Parotid Swelling |
- Malaise
- Anorexia
- Fever
- Headche
- Unilateral / bilateral swelling of angle of mouth
- Ear ache
- Jaw tenderness
- Dryness of mouth
- Earlobe appears to be pushed outward and backward due to the swelling
Investigations
- Raised serum amylase
- Isolation of virus (throat, spine and urine)
- ELISA
- PCR
- IgM raised
Complications
- Epididymo-orchitis
- Oophoritis
- Pancreatitis
- Aseptic meningitis
- Encephalitis
- Myocarditis
- Nephritis
- Mastiits
Treatment
- Symptomatic treatment
- Antipyretic drug
- Warm saline mouthwash
- Steriods – Prednisolone (orchitis and arthritis)
- Prevention by the Mumps Vaccine at the age of 15 month
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