Viral parotitis: Difference between revisions
(→DDX) |
|||
| Line 10: | Line 10: | ||
*Unilateral orchitis (20-30% of male pts) | *Unilateral orchitis (20-30% of male pts) | ||
== | ==Differential Diagnosis== | ||
*[[Suppurative Parotitis]] | *[[Suppurative Parotitis]] | ||
*[[Sialolithiasis]] | *[[Sialolithiasis]] | ||
===Bilateral parotitis=== | |||
*Viral infections | |||
**[[Viral Parotitis (Mumps)]] | |||
**parainfluenza | |||
**coxsackievirus | |||
**[[influenza]] A | |||
**[[Epstein-Barr virus]] | |||
**adenovirus | |||
**[[HIV]] | |||
**cytomegalovirus | |||
*Bacterial infections | |||
**[[Staphylococcus aureus]] | |||
*Noninfectious | |||
**salivary calculi | |||
**tumors | |||
**sarcoid | |||
**Sjögren’s syndrome | |||
**thiazide diuretics | |||
==Treatment== | ==Treatment== | ||
Revision as of 06:39, 28 October 2014
Background
- Acute infection of the parotid glands
- Most often caused by the mumps virus; less commonly by influenza, parainfluenza, coxsackie, echo, HIV
- Most common in children <15yrs
- Contagious for 9d after onset of parotid swelling
Clinical Features
- Prodrome of fever, malaise, HA, myalgias, arthralgias
- Unilateral or bilateral parotid swelling
- Unilateral orchitis (20-30% of male pts)
Differential Diagnosis
Bilateral parotitis
- Viral infections
- Viral Parotitis (Mumps)
- parainfluenza
- coxsackievirus
- influenza A
- Epstein-Barr virus
- adenovirus
- HIV
- cytomegalovirus
- Bacterial infections
- Noninfectious
- salivary calculi
- tumors
- sarcoid
- Sjögren’s syndrome
- thiazide diuretics
Treatment
- Supportive
Complications
- Mastitis, pancreatitis, aseptic meningitis, hearing loss, myocarditis, polyarthritis, hemolytic anemia
Disposition
- Isolated parotitis or orchitis: manage as outpatient
- Sysemtic complications: admit
See Also
Source
Tintinalli