Definition

Mumps (epidemic parotitis) is a disease of viral origin most commonly occurring in the pediatric age group.

Etiology

•           Paramyxovirus

•           Orthomyxovirus

Clinical Features

•           Pain

•           Swelling of the gland and overlying skin

•           Anorexia

•           Fever, Malaise

•           Usually Bilateral involvement

Diagnosis

•           Clinical picture is diagnostic.

•           Serum and Urinary amylase

•           CBC

Management

A.  Non-Pharmacological

•           Maintain proper hydration of the patient.

•           Treat primary disease.

B.   Pharmacological

1.   Antipyretics and analgesics

           •           Paracetamol (Oral, IM)

                      Adults                                   0.5-1 gm q4-6 hours upto maximum of 4 gms

                      Children                                10mg/kg q 4-6 hours

           •           lbuprofen(Oral)

                      Adult                                      400 mg 4-6 hrs

If secondary bacterial infection supervenes then appropriate antibiotics have to be started.

References

Porter S.R., Scott Brown's Otorhinolaryngology Head & Neck Surgery, Great Britain, Hodder Arnold 2008.