View source for Mumps

==Background==
*Contagious viral infection caused by a paramyxovirus 
*Mumps cases in US range from few hundreds to thousands per year  
*Highly infectious and is transmitted by respiratory droplets, direct contact, or fomites 
*The incubation period is usually 16 to 18 days (range 12 to 25 days) from exposure to onset of symptom

==Clinical Features==
[[File:Mumps comparison.jpg|thumb|Patient before (left) and after (right) being infected with Mumps.]]
[[File:Mumps PHIL 130 lores.jpg|thumb|Child with mumps.]]
[[File:Mumps.jpg|thumb]]
*Initially presents with headache, fever, myalgias, fatigue, anorexia 
*48-hours later develop salivary gland swelling  
*Parotitis (can be unilateral, bilateral)- lasts up to 10 days  
*Usually self limiting

==Complications==
*Orchitis/oophoritis (most common complication) 
**Tends to affect post pubertal males  
**Usually occurs 5 – 10 days after parotitis and is accompanied by fever 
*Neurologic complications  
**Meningitis 
**Encephalitis  
**Deafness  
*Less common complications - arthritis, pancreatitis, thyroiditis, myocardial involvement

==Differential Diagnosis==
{{Bilateral parotitis DDX}}
{{Facial swelling DDX}}
{{Testicular DDX}}

==Evaluation==
*Usually clinical diagnosis- symptoms, vaccination status 
*Lab testing 
**RT-PCR  
**Serology

==Management==
*Supportive care

==Disposition==
*Typically treated as an outpatient
*Consider admission for serious complications (e.g., [[meningitis]], [[encephalitis]], [[myocarditis]], [[nephritis]], [[pancreatitis]])

==See Also==
*[[Viral parotitis]]
*[[Orchitis]]

==External Links==


==References==
<references/>
[[Category:ID]]