Mumps

Question 1

Mumps Virus

Answer 1

-Paramyxovirus

Question 2

Mumps Presentation

Answer 2

• Can be asymptomatic
• Non specific symptoms lasting a few days, fever, headache, malaise, myalgia
• Parotitis can be unilateral
• Mouth cannot be opened and is dry due to blocked ducts
• Orchitis can occur four or five days after the start of parotitis
• Can occur without parotitis
• Orchitis presents with chills, sweats, headache, backache, swinging temperature and severe tenderness
• Scrotum is often swollen, testis often impalpable
• Usually unilateral
• Meningism occurs in 15% usually without parotitis
• Meningitis usually mild and self limiting

Question 3

Mumps Differentials

Answer 3

• Tonsillitis, pharyngitis, IM
• Consider HIV
• Consider as a cause of meningitis

Question 4

Mumps Investigations

Answer 4

• Clinical diagnosis in most cases
• All cases require laboratory confirmation
• Contact local HPU to take oral fluid sample
• Use USS to differentiate mumps from torsion

Question 5

Mumps Management

Answer 5

-Supportive, keep mouth moist

Question 6

Mumps Prognosis

Answer 6

-Usually self limiting with full recovery within 1-2 weeks

Question 7

Mumps Complications

Answer 7

• Oophoritis
• Deafness
• Pancreatitis