Mumps Flashcards
Type of virus
rna
main target
salivary glands mainly parotid but also other salaivary, gonads and pancreas
complications
pancreatitis- get smashed
epi
school ages children/young adults and outbreaks in low vaccinated areas , world wide distribution
moa
respiratory
symptoms /complications
parotitis orchitis aseptic meningitis encephalitis deafness - usually in kids unilateral sensorineural
which organ is almost always affected
parotid gland
phases
IP
prodromal - flu like
disease - parotitis
diagnosis
Virus isolated from urine, saliva _ css
clinical : parotid enlargement
labs: pancreatitis lipas amylase
csf: lymphocytosis, normal glucose protein increase
tx
supportive as disease is usually mild and self limiting
dx of orchitis
infection; brucellosis, tb , sti
trauma
malignancy - usually painless or slowly eveolving
torsion
is it likely to see mumps in infants
It is unusual to see mumps in infants, because of the mother,s AB remains protective for the first year.
when is the person infectious in terms of parotid glands
Virus is shed in saliva from-7 days before to 6-9 days/2 weeks after symptoms
IP
2-3 weeks (typically around 18 days)
classic systems involved
parotid glands 40% patients (most common) and meningitis, in half the people the meningitis is asymptomatic
causative agent
paramyxovirus
is mumps more severe in adults or children
adults
is there any prophyaliz
vaccine - live which can be given just alone without the other 2 or in combination with rubela
Mumps immune globulin can be used to prevent the disease in non immunized individuals exposed to the virus.
measures
for 9 days isolate
Children without immunity and not vaccinated should be monitored for 21 days
Adults working in childcare facilities should be monitored for 21 days as well
