3-year-old with left sided facial edema (watch video)
Patient will present as → an 11-year-old boy with malaise and swelling of his face. He has no significant past medical history, but it is documented in his chart that his mother declined the recommended standard immunizations for children because of personal beliefs. Vital signs are stable with the exception of a mild fever. In addition to the facial swelling, physical exam is also notable for swelling around the testes. There are no rashes.
Mumps is an acute, contagious, systemic viral disease, usually causing painful enlargement of the salivary glands, most commonly the parotids
- Caused by the paramyxovirus. Likely in a child without complete vaccination series.
- Typically, it begins with a few days of fever, headache, myalgia, fatigue, and anorexia, followed by parotitis; the illness is usually self-limited.
- In adult males look for an associated orchitis.
- All cases are reported promptly to public health authorities.
Other viral causes of parotitis – Viral infections associated with parotitis include influenza A virus, parainfluenza, adenovirus, coxsackievirus, Epstein-Barr virus (EBV), cytomegalovirus, herpes simplex virus, human immunodeficiency virus (HIV), and lymphocytic choriomeningitis virus.
Diagnosis is clinical
- Laboratory confirmation of mumps may be achieved with IgM antibody, IgG antibody titer, PCR, or culture
Mumps is self-limiting treat with hydration and rest
- Vaccination is effective for prevention