Mumps

Mumps

  Autor Dana Varvaruc Data: 15.12.2005

Mumps
It is an acute infectious disease transmitted by a virus from the Paramyxoviridae family. The most common manifestation is the epidemic parotitis, about 75%. The evolution is usually benign without sequelae. The infection gets into the body through the oropharyngeal airways and is transmitted through the respiratory way. The incubation period lasts between 14 and 21 days. 

The disease starts with a feverish state, then with hyperemia of the oropharynx, fever and swelling of the parotid gland with a normal aspect, parotid inflammation and sensitivity to palpation. Most times, the evolution stops and the swelling reduces. Sick children might have vomiting because of an infraclinical affectation of the pancreas (half-consistent stools). Some might have a new fever inccrease associated with swelling of the salivary glands, sometimes leading to edema because the inflammation blocks the neck lymphatics. The infection of the sublingual glands is hard to see. 
The central nervous system is infraclinically affected, thus the headaches,fever, vomiting, photophobia and neck stiffness. Rarely, there occurs anencephalon problem which leads to a confusion. The usual evolution ofparotitis lasts 10 days. The causes with multiple locations appear in lessthan 10 days. Meningitis and otitis are not complicated but are distributedin other parts.

Treatment: 
  • the child doesn't have to be hospitalized; 
  • he is isolated for about 10 days; 
  • a restrictive diet regarding the liquids and dairy products; 
  • he may eat salt and meat; 
  • he must rest entirely, otherwise it is possible to develop meningitis; 
  • if he takes indometacin, this might lead to parotid swelling, but this depends on the severity; 
  • first thing, you must vaccinate the child as a prevention measure. 

Go to the doctor, when you notice the first signs of the disease!






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