Viral parotitis: Difference between revisions
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*Prodrome of fever, malaise, HA, myalgias, arthralgias | *Prodrome of fever, malaise, HA, myalgias, arthralgias | ||
*Unilateral or bilateral parotid swelling | *Unilateral or bilateral parotid swelling | ||
*Unilateral orchitis (20-30% of male | *Unilateral orchitis (20-30% of male patients) | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 16:49, 21 June 2016
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 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
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
References
Video
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