Epidemic parotitis/Mumps

Mumps (epidemic parotitis, mumps, mumps or mumps short) is common in children and adolescents respiratory diseases, adults have the disease. The disease caused by the mumps virus, the virus mainly affects the parotid gland, but may also be violations of almost all organs of the various glandular tissue of the nervous system, liver, kidney, heart, joints. Therefore, apart from outside the parotid gland swelling and pain often can cause meningoencephalitis, orchitis, pancreatitis, ovarian symptoms go far.

Incubation period of 8-30 days, an average of 18 days. Most of the more acute onset, without prodromal symptoms. Fever, chills, headache, sore throat, poor appetite, nausea, vomiting, body pain, parotid gland swelling and pain for several hours, became clear, body temperature can reach 39 ℃, adults are generally more serious.
The most characteristic swelling of the parotid gland. Generally earlobe as the center, forward, backward, under development, shaped like a pear-shaped, the edge is unclear; local skin tight, shiny but not red, touch of tough and resilient, there is touch of pain; speech, chewing (in particular stimulus into an acidic diet) saliva secretion, resulting in increased pain; usually 1 to 4 days after the involved side contralateral parotid gland swelling, bilateral swelling by about 75%. Submandibular gland or sublingual gland may also be involved simultaneously. Severe tissue surrounding the parotid gland height edema, distorts, and difficulty swallowing. Parotid duct openings early may have swelling, parotid always squeeze no purulent discharge from the overflow openings. Most of parotid gland swelling reached a peak in 1 to 3 days, for 4 to 5 days and return to normal gradually subside. It takes about 10 to 14 days. Submandibular gland and sublingual glands can also be simultaneously involved, or appear alone. Submandibular gland enlargement, showed anterior mandibular swelling and palpable enlargement of the gland. Sublingual gland swelling visible swelling of the tongue and floor of the mouth, and difficulty swallowing.
According to the prevalence and history of exposure, as well as the characteristics of parotid swelling, the diagnosis is not difficult. In case of atypical suspected cases, according to the above method further laboratory tests to confirm the diagnosis.
1. isolation of patients to make bed rest until the parotid swelling subsided completely. Attention to oral hygiene, diet with liquid, soft appropriate to avoid acidic foods, ensure that the liquid intake.
2. General antibiotics and sulfa drugs ineffective. There are those who seem to have a trial of interferon effect.
3. adrenocorticotropic hormone therapy is certainly no effect, when severe or complicated by meningoencephalitis, myocarditis, etc. can be considered short-term use.
4. He-Ne laser irradiation treatment of mumps to the local pain, swelling and have a certain effect.
5. high fever, headache, vomiting may be given symptomatic treatment, including dehydrating agent. Complications of the disease by handling.
6. A male adult patients early in the disease application diethylstilbestrol, 3 times a day, every 1mg orally, may have preventive effect orchitis occurred.