Viral parotitis - Revision history

Rossdonaldson1: /* Video */

2024-04-10T15:44:07Z

Video

← Older revision		Revision as of 15:44, 10 April 2024
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	*[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]		*[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]
	*[https://www.merckmanuals.com/professional/pediatrics/miscellaneous-viral-infections-in-infants-and-children/mumps#:~:text=(Epidemic%20Parotitis)&text=Mumps%20is%20an%20acute%2C%20contagious,orchitis%2C%20meningoencephalitis%2C%20and%20pancreatitis. Merck Manual: Mumps]		*[https://www.merckmanuals.com/professional/pediatrics/miscellaneous-viral-infections-in-infants-and-children/mumps#:~:text=(Epidemic%20Parotitis)&text=Mumps%20is%20an%20acute%2C%20contagious,orchitis%2C%20meningoencephalitis%2C%20and%20pancreatitis. Merck Manual: Mumps]

	~~==Video==~~
	~~{{#widget:YouTube\|id=ilEowtWdqsI}}~~

	==References==		==References==

Rossdonaldson1: /* Differential Diagnosis */

2023-08-17T20:49:37Z

Differential Diagnosis

← Older revision		Revision as of 20:49, 17 August 2023
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Bilateral parotitis DDX}}		{{Bilateral parotitis DDX}}

	{{Facial swelling DDX}}		{{Facial swelling DDX}}

Blsimpso: /* External Links */

2022-04-21T02:16:54Z

External Links

← Older revision		Revision as of 02:16, 21 April 2022
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	==External Links==		==External Links==
	*[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]		*[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]
			*[https://www.merckmanuals.com/professional/pediatrics/miscellaneous-viral-infections-in-infants-and-children/mumps#:~:text=(Epidemic%20Parotitis)&text=Mumps%20is%20an%20acute%2C%20contagious,orchitis%2C%20meningoencephalitis%2C%20and%20pancreatitis. Merck Manual: Mumps]

	==Video==		==Video==

Rossdonaldson1: /* Clinical Features */

2021-12-11T13:44:59Z

Clinical Features

← Older revision		Revision as of 13:44, 11 December 2021
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3385293 aps-39-59-g001.png\|thumb\|Right sided parotitis with parotid swelling.]]
	*Prodrome of [[fever]], malaise, [[headache]], myalgias, [[arthralgias]]		*Prodrome of [[fever]], malaise, [[headache]], myalgias, [[arthralgias]]
	*Unilateral or [[bilateral parotitis\|bilateral]] parotid swelling		*Unilateral or [[bilateral parotitis\|bilateral]] parotid swelling

Elcatracho: /* Evaluation */

2021-04-19T04:00:49Z

Evaluation

← Older revision		Revision as of 04:00, 19 April 2021
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	*May confirm diagnosis with mumps immunoglobulin (IgM and IgG) or PCR (may also be needed by local health department for reporting)		*May confirm diagnosis with mumps immunoglobulin (IgM and IgG) or PCR (may also be needed by local health department for reporting)
	*[[Testicular ultrasound]] if concern for [[orchitis]]		*[[Testicular ultrasound]] if concern for [[orchitis]]
	*[[Lumbar puncture if concern for associated [[meningitis]]/[[encephalitis]]		*[[Lumbar puncture]] if concern for associated [[meningitis]]/[[encephalitis]]

	==Management==		==Management==

Rossdonaldson1: /* Background */

2021-04-15T16:41:16Z

Background

← Older revision		Revision as of 16:41, 15 April 2021
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	==Background==		==Background==
			[[File:Gray1024.png\|thumb\|Parotid anatomy.]]
	*Acute infection of the parotid glands		*Acute infection of the parotid glands
	*Most often caused by paramyxoviruses (e.g. [[mumps]]), but should consider [[influenza]]<ref>Rolfes, Melissa A, et al. “Influenza-Associated Parotitis During the 2014–2015 Influenza Season in the United States.” Clinical Infectious Diseases, vol. 67, no. 4, 2018, pp. 485–492., doi:10.1093/cid/ciy136.</ref>; less commonly by parainfluenza, [[coxsackie]], echo, [[HIV]]		*Most often caused by paramyxoviruses (e.g. [[mumps]]), but should consider [[influenza]]<ref>Rolfes, Melissa A, et al. “Influenza-Associated Parotitis During the 2014–2015 Influenza Season in the United States.” Clinical Infectious Diseases, vol. 67, no. 4, 2018, pp. 485–492., doi:10.1093/cid/ciy136.</ref>; less commonly by parainfluenza, [[coxsackie]], echo, [[HIV]]

ClaireLewis at 23:07, 30 September 2019

2019-09-30T23:07:45Z

← Older revision		Revision as of 23:07, 30 September 2019
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	==Clinical Features==		==Clinical Features==
	*Prodrome of [[fever]], malaise, [[headache]], myalgias, [[arthralgias]]		*Prodrome of [[fever]], malaise, [[headache]], myalgias, [[arthralgias]]
	*Unilateral or bilateral parotid swelling		*Unilateral or [[bilateral parotitis\|bilateral]] parotid swelling
	*Unilateral [[orchitis]] (20-30% of male patients)		*Unilateral [[orchitis]] (20-30% of male patients)

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	*Generally a clinical diagnosis		*Generally a clinical diagnosis
	*May confirm diagnosis with mumps immunoglobulin (IgM and IgG) or PCR (may also be needed by local health department for reporting)		*May confirm diagnosis with mumps immunoglobulin (IgM and IgG) or PCR (may also be needed by local health department for reporting)
	*Testicular ultrasound if concern for orchitis		*[[Testicular ultrasound]] if concern for [[orchitis]]
	*Lumbar puncture if concern for associated meningitis/~~encphalitis~~		*[[Lumbar puncture if concern for associated [[meningitis]]/[[encephalitis]]

	==Management==		==Management==

Mholtz at 22:34, 25 September 2019

2019-09-25T22:34:46Z

← Older revision		Revision as of 22:34, 25 September 2019
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	{{Facial swelling DDX}}		{{Facial swelling DDX}}

			==Evaluation==
			*Generally a clinical diagnosis
			*May confirm diagnosis with mumps immunoglobulin (IgM and IgG) or PCR (may also be needed by local health department for reporting)
			*Testicular ultrasound if concern for orchitis
			*Lumbar puncture if concern for associated meningitis/encphalitis

	==Management==		==Management==
	*Supportive		*Supportive care is the mainstay of treatment
	*Health department may want specific lab testing: bucal swab, IgM, PCR, etc. [https://www.cdc.gov/mmwr/international/relres.html Contact your local health department for reporting requirements]

	==Disposition==		==Disposition==
	*Isolated parotitis or orchitis: manage as outpatient		*Isolated parotitis or orchitis: manage as outpatient
	*Systemic complications: admit		*Systemic complications: admit
	*Report to health department		*Report to local health department (nationally reportable disease)

	==See Also==		==See Also==
	*[[Salivary ~~Gland Infections~~]]		*[[Salivary gland diagnoses]]
	*[[Bilateral parotitis]]		*[[Bilateral parotitis]]

			==External Links==
			*[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]

	==Video==		==Video==
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	==References==		==References==
	~~[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]~~
	<references/>		<references/>

	[[Category:ENT]]		[[Category:ENT]]
	[[Category:ID]]		[[Category:ID]]

Streacycr: /* Background */

2018-11-21T00:06:33Z

Background

← Older revision		Revision as of 00:06, 21 November 2018
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	==Background==		==Background==
	*Acute infection of the parotid glands		*Acute infection of the parotid glands
	*Most often caused by paramyxoviruses (e.g. [[mumps]])~~; less commonly by~~ [[influenza]], parainfluenza, [[coxsackie]], echo, [[HIV]]		*Most often caused by paramyxoviruses (e.g. [[mumps]]), but should consider [[influenza]]<ref>Rolfes, Melissa A, et al. “Influenza-Associated Parotitis During the 2014–2015 Influenza Season in the United States.” Clinical Infectious Diseases, vol. 67, no. 4, 2018, pp. 485–492., doi:10.1093/cid/ciy136.</ref>; less commonly by parainfluenza, [[coxsackie]], echo, [[HIV]]
	*Most common in children <15yrs		*Most common in children <15yrs
	*Contagious for 9 days after onset of parotid swelling		*Contagious for 9 days after onset of parotid swelling

Jnackenson: /* Management */

2018-01-02T17:07:51Z

Management

← Older revision		Revision as of 17:07, 2 January 2018
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	==Management==		==Management==
	*Supportive		*Supportive
			*Health department may want specific lab testing: bucal swab, IgM, PCR, etc. [https://www.cdc.gov/mmwr/international/relres.html Contact your local health department for reporting requirements]

	==Disposition==		==Disposition==
	*Isolated parotitis or orchitis: manage as outpatient		*Isolated parotitis or orchitis: manage as outpatient
	*Systemic complications: admit		*Systemic complications: admit
			*Report to health department

	==See Also==		==See Also==
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	==References==		==References==
			[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP]
	<references/>		<references/>

	[[Category:ENT]]		[[Category:ENT]]
	[[Category:ID]]		[[Category:ID]]