Mumps Questions & Answers

Updated: Jan 17, 2019
  • Author: Germaine L Defendi, MD, MS, FAAP; Chief Editor: Russell W Steele, MD  more...
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Questions & Answers

Overview

What is mumps?

What is the causative agent of mumps, isolated?

What is the role of serologic assays in the evaluation for mumps?

Which viral pediatric diseases share epidemiologic characteristics with mumps?

Who is most susceptible to mumps?

What is the relation between severe acute respiratory syndrome (SARS) and mumps?

What were the initial recommendations for the mumps vaccine?

How has vaccination affected the incidence of mumps?

What events lead to the recommendation of a second dose of mumps vaccine?

What may be the causes of mumps outbreaks in well-vaccinated populations?

Which age groups are at higher risk for mumps?

What is the transmission mode of mumps?

What is the incubation period of mumps?

What is the most common presentation of mumps after the prodromal period?

When is a patient with mumps considered infectious?

What are the disease progression of mumps after the prodromal period?

What are causes of parotid swelling other than mumps?

What are central nervous system complications of mumps?

What is the prevalence of aseptic meningitis in mumps?

What are the CSF profiles of aseptic meningitis and encephalitis in mumps?

What is the prognosis of CNS involvement of mumps?

What are the signs and symptoms of neuritis of the auditory nerve in mumps?

What are the GI manifestations of mumps?

What are the signs and symptoms of orchitis in men with mumps?

What is the increased risk for testicular cancer in men with a history of orchitis due to mumps?

What is the prevalence of oophoritis in females with mumps?

What are the complications of mumps?

How are infants protected from mumps?

What is the pathogenesis of mumps?

What causes impaired renal function in mumps?

What is the tissue response of mumps?

Which factors increase the risk of the mumps?

How has vaccination affected the incidence of mumps in the US?

What has contributed to the decrease in mumps in the US?

Which actions led to record low incidence of mumps in the US?

Who was affected in the 2005 mumps outbreak?

What is the global prevalence of mump vaccination?

What are the racial predilections of mumps?

How does the incidence of mumps vary by sex?

How does the incidence of CNS involvement in mumps vary by sex?

What is the prevalence of mumps in school-aged children?

What is the prevalence of mumps in persons aged 15 years or older?

What is the prevalence of mumps in adolescents and young adults?

What is the prognosis of uncomplicated mumps?

What is the prognosis of encephalitis due to mumps?

What is the prognosis of sensorineural deafness due to mumps?

What is the prognosis of pancreatitis due to mumps?

What is the prognosis of orchitis due to mumps?

What is the prognosis of oophoritis due to mumps?

What are rare complications of mumps?

What is the prognosis of mumps in pregnant women?

Which age groups has the highest mortality risk from mumps

How long should children with mumps be kept out of school?

What is included in patient education about mumps?

Presentation

What are the signs and symptoms of mumps?

Which symptoms of mumps are present about 1 week after parotitis?

What are the symptoms of pancreatitis in patients with mumps?

What are the symptoms of orchitis in patients with mumps?

What are the symptoms of oophoritis in patients with mumps?

What is the presentation of aseptic meningitis due to mumps?

What is the characteristic finding of the Stensen's duct in patients with mumps?

What are the physical findings of the parotid gland suggestive of mumps?

What are the physical findings of the submaxillary gland suggestive of mumps?

What are the physical findings of the sublingual gland suggestive of mumps?

What are the cutaneous findings suggestive of mumps?

DDX

What is the prevalence of aseptic meningitis in patients with mumps?

How accurate is a clinical diagnosis of mumps?

Which conditions should be considered in the differential diagnoses of mumps?

What are the differential diagnoses for Mumps?

Workup

How is mumps diagnosed?

What is the role of serum amylase and serum lipase studies in the workup of mumps?

What is the role of blood testing in the workup of mumps?

What is the role of urine testing in the workup of mumps?

How is Rubulavirus isolated in the workup of mumps?

What is the role of immunoglobulin titers in the workup of mumps?

What is the role of imaging studies in the workup of mumps?

What is the role of CT scanning in the evaluation of mumps infection?

What is the role of ultrasonography in the evaluation of mumps?

What are the indications for further testing in patients with mumps?

What is the role of auditory testing in the evaluation of mumps?

What is the role of lumbar puncture in the evaluation of mumps?

Treatment

What are the treatment options for mumps without major complications?

When is conservative and supportive medical care indicated for the management of mumps?

Which dietary modifications are beneficial in the management of mumps?

How is pain managed in patients with mumps?

How is orchitis managed in patients with mumps?

When is inpatient care indicated for the treatment of mumps?

How are meningitis, encephalitis, myocarditis, nephritis, or severe pancreatitis managed in patients with mumps?

When are specialist consultations considered in the treatment of mumps?

What are the indications for transfer in patients with mumps?

What are the dietary recommendations for patients with mumps?

What are the activity recommendations for patients with mumps?

What is the principal strategy to prevent mumps?

What are the deterrence protocols if a case of mumps occurs in a childcare facility?

How long should children with mumps be excluded from school?

Which factors make it difficult to control the spread of mumps infection?

Who should be vaccinated against mumps?

Which patient groups are not susceptible to mumps?

What is the likelihood of susceptibility to mumps in persons born before 1957?

What are the indications of immunological protection from mumps?

How should the single dose of the mumps vaccine be administered?

What are the indications for administration of the live attenuated mumps virus vaccine?

What are the risks of administering the mumps vaccine after an exposure of mumps?

What is the role of immunoglobulin (IVIG) in the prevention of mumps?

What evidence supports the need for routine vaccination programs against mumps?

What is the effectiveness of a third dose of the mumps vaccine?

Why should the mumps vaccine be required prior to college enrollment?

What are the risks of the MMRV vaccine for mumps in children aged 12-23 months?

What is the immunity response to mumps in children who contracted perinatal HIV (PHIV)?

What are the adverse effects of the mumps vaccine?

What are the recommendations for administration of the mumps vaccine during pregnancy?

Under what circumstances should the mumps vaccine be deferred?

What are the risks of administering the mumps vaccine to individuals with egg allergies?

What are the risks of administering the mumps vaccine to individuals with allergies to chickens or feathers?

What are the risks of administering the mumps vaccine to individuals with allergies to neomycin?

What are the possible complications of administering the mumps vaccine after the administration of IVIG or blood product transfusion?

What are the recommendations for administration of the live attenuated mumps vaccine in immunocompromised children?

What are the recommendations for administering the mumps vaccine in patients with leukemia?

Medications

What is the treatment of mumps?

Which medications in the drug class Vaccines (measles, mumps, rubella) are used in the treatment of Mumps?

Which medications in the drug class Analgesics are used in the treatment of Mumps?