Viral parotitis
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)
DDX
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