Mumps In Children

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Mumps In Children
Mumps In Children
Video: Mumps In Children
Video: Mumps in Children - Signs, Causes & Treatment 2023, February
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Mumps in children

Mumps (goat peter, parotitis epidemica) is a highly infectious viral disease that mainly affects the salivary glands. Children between the ages of four and ten are particularly affected. About half of all mumps infections go without symptoms, but still leave behind a permanent immunity. The mumps virus (group of paramyxoviruses) is excreted in saliva, urine, and breast milk and spread through droplets. The portal of entry is the oral mucosa.

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How to prevent mumps

According to the recommendations of the Austrian Vaccination Committee, all children should be vaccinated against mumps, measles and rubella from the age of eleven months. If there is a lack of immunity, the mumps vaccination can be made up at any age. Vaccination is particularly important for women of childbearing age - the immune status should be checked before a planned pregnancy. More information about vaccinations.

Note The time from infection to onset of the disease is two to four weeks. The patients are already infectious about five days before the swelling of the salivary glands occurs until the final decongestion (about eight days).

What are the symptoms?

The inflammatory, painful swelling of the parotid glands is characteristic. After one or two days with atypical symptoms, sometimes without a warning, the parotid gland swells first on one side and usually one or two days later on the other side as well. The children often complain of pain when chewing, in the ears or when moving the head. The face presents a typical picture: the ear lobes stick out, the skin is swollen and tense over the pasty swelling of the glands. Other salivary glands can be affected or isolated. The swelling will go down after a few days. The disease can progress with a fever of 38 degrees Celsius, but also without a fever.

How is the diagnosis made?

The doctor usually uses the typical appearance to determine whether the child actually has mumps. Similar complaints can occur with purulent inflammation of the parotid glands, inflammation of the lymph nodes or congestion of secretion due to salivary stones. The diagnosis can be confirmed by means of laboratory tests.

How is mumps treated?

Only symptom-relieving measures such as mild local heat and painkillers are possible. Corticosteroid treatment is indicated for severe inflammation of the brain or testicles.

Complications

The complications increase with age. The central nervous system is involved in five to ten percent of infections, usually in the form of meningitis with fever, headache, vomiting, rarely as encephalitis.

In around five percent of those affected, the auditory nerve becomes inflamed (acoustic neuritis). This can cause numbness. Ten to 30 percent of male patients develop inflammation of the testicles and epididymis with painful swelling of the testicles during or after puberty. A frequent long-term consequence is sterility. Inflammation of the pancreas (pancreatitis) occurs in five percent of cases.

Whom can I ask?

As soon as the first signs of illness appear, you should take your child to a doctor specializing in general medicine or paediatrics.

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