| Disease/Syndrome |
Mumps |
|---|
| Category |
Infection, Occupational |
|---|
| Acute/Chronic |
Acute-Moderate |
|---|
| Synonyms |
Infectious parotitis |
|---|
| Biomedical References |
Search PubMed |
|---|
| Comments |
FINDINGS: Symptoms include swelling of one or more salivary glands, usually the parotids. Complications include orchitis, hearing loss, pancreatitis, and, rarely, encephalitis. Up to 10% of patients have symptomatic aseptic meningitis. [CCDM, p. 376-9] Swelling of parotid gland is greatest days 1-3 and resolves days 3-7. Swelling obscures mandible and elevates earlobe. The opening of Stensen's duct (opposite the second upper molar tooth) is red. [5MCC] Only about 50% of patients with mumps meningitis have parotitis. The CSF shows a predominance of polymorphonuclear cells in about 25% of cases and low CSF glucose is common. [Lexi-ID, p. 215] Mumps affects primarily children aged 6-20. The parotid gland enlarges in 60% to 70% of cases and the submandibular or sublingual glands in 10% of cases. 50% of mumps cases have CSF pleocytosis. Mumps meningitis is benign without sequelae. Encephalitis occurs in about 0.1% of cases. Epididymo-orchitis occurs in 25% of infected post-pubertal males. The testicle may enlarge 3-4 times normal size. 5-15% of mumps patients have EKG abnormalities, but clinical myocarditis is rare. Thrombocytopenia is extremely rare. Elevated amylase in a patient with aseptic meningitis suggests mumps. [PPID, p. 2003-7] PREVENTION: Travelers can be considered immune if born before 1957, if have documentation of 2 doses of live vaccine or physician-diagnosed mumps, or if have lab evidence of immunity. [CDC Travel, p. 250] "Most cases of mumps in health care personnel have been community acquired. . . . Droplet precautions are recommended for patients with mumps; such precautions should be continued for 9 days after the onset of parotitis. . . . An effective vaccination program is the best approach to prevention of nosocomial mumps transmission." [Guidelines for Infection Control in Health Care Personnel. CDC. 1998] |
|---|
| Latency/Incubation |
About 2 to 2.5 weeks; |
|---|
| Diagnostic |
Clinical; Paired sera; IgM antibodies; Buccal/oral swab and urine specimen up to 9 days after symptom onset for viral culture and RT-PCR; [CDC website] |
|---|
| ICD-9 Code |
072 |
|---|
| Available Vaccine |
Yes |
|---|
|
|
|---|
| Reference Link |
CDC: Mumps |
|---|
| Image |
Illinois Dept. of Public Health - Mumps |
|---|
| Related Information in Haz-Map |
|---|
| Symptoms/Findings |
Symptoms/Findings associated with this disease:
|
|---|
| Job Tasks |
High risk job tasks associated with this disease:
|
|---|
|
|
