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mumps |
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mumps (epidemic parotitis), acute contagious viral disease, manifesting itself chiefly in pain and swelling of the salivary glands, especially those at the angle of the jaw. Other symptoms are fever, a general feeling of illness, and pain on chewing or swallowing. Mumps most often affects children between the ages of 5 and 15, the incubation period being 14 to 21 days; the acute phase rarely lasts more than 3 days. The disease is usually more severe in adults, the most common complications being pain and swelling of the testes (in 20% of adult male patients) and swelling of the meninges that cover the brain and spinal cord (in about 30% of cases). Sterility resulting from involvement of the testes and fatalities from the meningoencephalitis occur in a small minority of male cases. Other possible complications include pancreatitis and involvement of the heart or thyroid. The ovaries are sometimes affected in females. Treatment consists mainly of bed rest, intake of fluids, and the administration of analgesics. A live virus vaccine has been developed that can be given to susceptible children at 15 months. mumpsor epidemic parotitisAcute contagious viral disease with inflammatory swelling of the salivary glands. Epidemics often occur, mostly among 5- to 15-year-olds. Cold symptoms with low fever are followed by swelling and stiffening in front of the ear, often on both sides. This rapidly spreads toward the neck and under the jaw. Pain is seldom severe, with little redness, but chewing and swallowing are difficult. During recovery in patients past puberty, other glands may be affected, but usually not seriously. The testes may atrophy, but sterility is very rare. While inflammation of the brain and meninges is fairly common, chances of recovery are good. Mumps needs no special treatment, and patients usually develop immunity. Vaccination can prevent it. MUMPSSee M. mumps an acute contagious viral disease of the parotid salivary glands, characterized by swelling of the affected parts, fever, and pain beneath the ear: usually affects children Mumps An acute contagious viral disease, characterized chiefly by enlargement of the parotid glands (parotitis). Besides fever, the chief signs and symptoms are the direct mechanical effect of swelling on glands or organs where the virus localizes. One or both parotids may swell rapidly, producing severe pain when the mouth is opened. In orchitis, the testicle is inflamed but is enclosed by an inelastic membrane and cannot swell; pressure necrosis produces atrophy, and if both testicles are affected, sterility may result. The ovary may enlarge, without sequelae. An attenuated live virus vaccine can induce immunity without parotitis. It is recommended particularly for adults exposed to infected children, for students in boarding schools and colleges, and for military troops.
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