Epidemic parotitis (mumps) is a disease, insidious its complications.

Virtually every parent met in my life practice of infectious childhood diseases. Mumps (epidemic parotitis) is one such disease. It is an acute emerging infectious disease of viral etiology that affects mainly children through adolescence. Mumps-a disease characterized by the appearance of inflammatory reaction in the salivary glands and other organs that have glandular structure. Often it is complicated by the development of serous meningitis.

Causes of mumps

Parotitis, or mumps-a disease caused by paramyxoviruses, which are very unstable in the environment. The pathogen enters the body with the inhaled air, and also after intercourse or being in the same room with the sick person. Once in the body, the pathogen penetrates into the mucosa of the nose, mouth and throat. Blood it spreads throughout the body, penetrating into the internal organs. Particularly sensitive organs that have glandular structure, and Central nervous system (the meninges). Most often the virus infects the parotid gland and patients have a characteristic appearance, with a swollen neck and behind the ear space, in connection with which this disease is popularly called mumps. Disease the outcome leaves a strong immunity.

Manifestation of disease

Since the introduction of the virus into the body before the first signs of the mumps is from 10 to 24 days (average around 15-18 days). The disease begins with a rise in body temperature to febrile digits, the appearance of the prodrome and General malaise. From that moment marked painful swelling of the parotid glands. Lose glands can be symmetrical, both sides, or unilateral. Half of the patients in the inflammatory process involved the salivary glands. In the initial period of the disease is swelling of the glands increases, and its decrease is observed only for 4-5 day of illness, simultaneously with the decrease of temperature. Your usual dimensions of the parotid gland acquire on the tenth day of the disease. As a rule, suppuration of the glands is not observed.

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Pig boys May be complicated by orchitis (inflammation of testes), girls and women may experience oophoritis (inflammation of ovaries). With a more severe course of the disease has been spreading process on the internal organs and that have glandular structure, such as the pancreas, bartolina iron in women, breast. Quite often in endemic parotitis develops meningitis. A rare complication is encephalitis and meningoencephalitis. Perhaps the defeat of the middle ear.

The Pig should be differentiated from secondary parotitis bacterial etiology, inflammatory involvement of cervical lymph nodes. In the case of the meningitis eliminate meningitis of other etiology. In doubtful cases, use of laboratory diagnostic methods, such as HAI, RAC.

As mumps - a disease of viral etiology, specific treatment is not required. Usually symptomatic therapy. Are appointed antipyretics and antihistamines, locally applied heat therapy, physiotherapy. With the development of complications (meningitis, pancreatitis, etc.), the treatment is carried out by the General rules. When orchitis applied corticosteroids.

The Outcome in most cases favourable. Rare complication-an inflammation of the middle ear can cause irreversible hearing loss. The disease in boys can lead to atrophy of the testes and subsequent infertility. It is therefore very important to carry out preventive vaccination in childhood.

Prophylactic measures in hearth of infection

Ill should be isolated for nine days from the onset of the disease. Hospital treatment required in the event of complications and severe mumps. Preschoolers who have been in contact with the patient, uncoupling for three weeks.

In terms of immunization active immunization with a live vaccine in children 15-18 months old, together with vaccination against measles.