Viral parotitis

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Background

  • Acute infection of the parotid glands
  • Most often caused by the mumps virus; less commonly by influenza, parainfluenza, coxsackie, echo, HIV
  • Most common in children <15yrs
  • Contagious for 9d after onset of parotid swelling

Complications

  • Mastitis, pancreatitis, aseptic meningitis, hearing loss, myocarditis, polyarthritis, hemolytic anemia

Clinical Features

  • Prodrome of fever, malaise, headache, myalgias, arthralgias
  • Unilateral or bilateral parotid swelling
  • Unilateral orchitis (20-30% of male patients)

Differential Diagnosis

Bilateral Parotitis

Facial Swelling

Management

  • Supportive

Disposition

  • Isolated parotitis or orchitis: manage as outpatient
  • Sysemtic complications: admit

See Also

Video

References