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Home Disease Index Mumps

MUMPS


Overview

Causes
Symptoms
Therapy
Risk Factor

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Overview

 

Mumps is caused by the paramyxovirus. Of the common childhood illnesses, it is the disease with the longest incubation period and can take as long as three weeks from infection to outbreak.

The virus is contagious for about a week before the disease breaks out, which can make it difficult to track down the source of infection.




Causes

 

 

 



Symptoms

 

Mumps usually begins with two days of discomfort and an increasing temperature. This is followed by an uncomfortable feeling in the jawbone and a swelling of the parotid glands. Often the swelling occurs unevenly, on one side of the face before the other. It is only possible to get mumps in one of the glands. The body temperature may rise to 40oC and the swelling can feel oppressive and sore. The earlobes stick out and the child's face eventually looks very swollen. The child experiences pain when opening their mouth. In mild cases the swelling may only last three to four days, but it can go on for a week or more.

 

Risk Factors

 

Although the swollen parotid glands and high temperature caused by mumps may be unpleasant, the most serious repercussions involve possible infection of other organs.

In 20 to 30 per cent of the cases of adult men with mumps, the disease infects the testicles (orchitis) causing swelling, pain, soreness and a higher temperature. This often occurs about a week after the disease has broken out, and is a serious infection that may cause sterility.

However, among the few sexually mature men who contract mumps, only half get orchitis. Of these patients, only 10 per cent are affected in both testicles, and even then it does not necessarily cause sterility. If sterility occurs, there is still a chance that fertility may return.

Boys who have not reached puberty and are not sexually mature rarely get this kind of inflammation of the testicles.

The risk of women contracting oophoritis - inflammation of the ovaries - is even smaller than inflammation of the testicles in men. However, should this happen, it has no effect on fertility.

Inflammation of the pancreas (pancreatitis) is a recognised but uncommon complication.

A less rare complication of mumps is meningitis, which may appear 3 to 10 days after the onset of mumps. This is an inflammation of the membranes of the brain or spinal cord.

Meningitis is a serious disease, but in connection with mumps it is usually mild. However, it still requires close attention and special care of the patient. The symptoms of mumps-meningitis are:

  • headache
  • aversion to bright light
  • possible vomiting
  • typically a stiff neck, leaving patients unable to touch their chest with their chin and causing the head to bend slightly backwards.

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