Mumps

Question 1

Type of virus

Answer 1

rna

Question 2

main target

Answer 2

salivary glands mainly parotid but also other salaivary, gonads and pancreas

Question 3

complications

Answer 3

pancreatitis- get smashed

Question 4

epi

Answer 4

school ages children/young adults and outbreaks in low vaccinated areas , world wide distribution

Question 5

moa

Answer 5

respiratory

Question 6

symptoms /complications

Answer 6

parotitis 
orchitis 
aseptic meningitis 
encephalitis 
deafness - usually in kids unilateral sensorineural

Question 7

which organ is almost always affected

Answer 7

parotid gland

Question 8

phases

Answer 8

IP
prodromal - flu like
disease - parotitis

Question 9

diagnosis

Answer 9

Virus isolated from urine, saliva _ css

clinical : parotid enlargement

labs: pancreatitis lipas amylase
csf: lymphocytosis, normal glucose protein increase

Question 10

tx

Answer 10

supportive as disease is usually mild and self limiting

Question 11

dx of orchitis

Answer 11

infection; brucellosis, tb , sti
trauma
malignancy - usually painless or slowly eveolving
torsion

Question 12

is it likely to see mumps in infants

Answer 12

It is unusual to see mumps in infants, because of the mother,s AB remains protective for the first year.

Question 13

when is the person infectious in terms of parotid glands

Answer 13

Virus is shed in saliva from-7 days before to 6-9 days/2 weeks after symptoms

Question 14

IP

Answer 14

2-3 weeks (typically around 18 days)

Question 15

classic systems involved

Answer 15

parotid glands 40% patients (most common) and meningitis, in half the people the meningitis is asymptomatic

Question 16

causative agent

Answer 16

paramyxovirus

Question 17

is mumps more severe in adults or children

Answer 17

adults

Question 18

is there any prophyaliz

Answer 18

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.

Question 19

measures

Answer 19

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​