Viral parotitis: Difference between revisions
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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== | ||
| Line 33: | Line 35: | ||
==References== | ==References== | ||
[https://www.cdc.gov/mumps/hcp.html CDC: Mumps for HCP] | |||
<references/> | <references/> | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 17:07, 2 January 2018
Background
- Acute infection of the parotid glands
- Most often caused by paramyxoviruses (e.g. mumps); less commonly by influenza, parainfluenza, coxsackie, echo, HIV
- Most common in children <15yrs
- Contagious for 9 days after onset of parotid swelling
Complications
- Mastitis, pancreatitis, aseptic meningitis, hearing loss, myocarditis, polyarthritis, hemolytic anemia
Clinical Features
- Prodrome of fever, malaise, headache, myalgias, arthralgias
- Unilateral or bilateral parotid swelling
- Unilateral orchitis (20-30% of male patients)
Differential Diagnosis
Bilateral Parotitis
- Viral infections
- Viral parotitis
- Parainfluenza
- Coxsackie virus
- influenza A
- Epstein-Barr virus
- Adenovirus
- HIV
- Cytomegalovirus
- Bacterial infections
- Noninfectious
- Salivary calculi
- Tumors
- Sarcoidosis
- Sjögren’s syndrome
- Thiazide diuretics
Facial Swelling
- Buccal space infections
- Dental problems
- Canine space infection
- Facial cellulitis
- Herpes zoster
- Masticator space infections
- Maxillofacial trauma
- Neoplasm
- Parapharyngeal space infection
- Salivary gland diagnoses
- Parotitis
- Ranula
- Sialoadenitis
- Sialolithiasis
- Superior vena cava syndrome
Management
- Supportive
- Health department may want specific lab testing: bucal swab, IgM, PCR, etc. Contact your local health department for reporting requirements
Disposition
- Isolated parotitis or orchitis: manage as outpatient
- Systemic complications: admit
- Report to health department
See Also
Video
{{#widget:YouTube|id=ilEowtWdqsI}}