Viral parotitis

Background

  • Acute infection of the parotid glands
  • Most often caused by paramyxoviruses (e.g. mumps), but should consider influenza[1]; less commonly by parainfluenza, coxsackie, echo, HIV
  • Most common in children <15yrs
  • Contagious for 9 days after onset of parotid swelling

Complications

Clinical Features

Differential Diagnosis

Bilateral Parotitis

Facial Swelling

Management

Disposition

  • Isolated parotitis or orchitis: manage as outpatient
  • Systemic complications: admit
  • Report to health department

See Also

Video

References

CDC: Mumps for HCP

  1. Rolfes, Melissa A, et al. “Influenza-Associated Parotitis During the 2014–2015 Influenza Season in the United States.” Clinical Infectious Diseases, vol. 67, no. 4, 2018, pp. 485–492., doi:10.1093/cid/ciy136.