Mumps

Last reviewed: 27 Aug 2023
Last updated: 06 Jun 2023

Summary

Definition

History and exam

Key diagnostic factors

  • parotitis
  • history of missed or no vaccination or possible vaccine failure (primary or secondary)
More key diagnostic factors

Other diagnostic factors

  • constitutional symptoms
  • orchitis
  • oophoritis
  • aseptic meningitis
  • mastitis
  • encephalitis
  • deafness
Other diagnostic factors

Risk factors

  • unvaccinated status
  • immunosuppression
  • healthcare worker
  • international traveler
  • close-contact living (college students, prisoners, military)
  • vaccine failure
More risk factors

Diagnostic investigations

1st investigations to order

  • salivary mumps IgM
  • reverse transcriptase PCR
More 1st investigations to order

Investigations to consider

  • CBC and differential
  • serum mumps IgM
  • serum mumps IgG
  • serum amylase
  • viral culture (CSF, saliva, or urine)
  • lumbar puncture
  • CT head
More investigations to consider

Treatment algorithm

ACUTE

all patients

Contributors

Authors

David Elliman, MB BS, FRCPCH, FRCP, FFPH, DCH, BA (Open)

Consultant in Community Child Health

Great Ormond Street Hospital

London

UK

Disclosures

DE is involved in expert legal work where those with parental responsibility disagree as to whether a child should be immunized.

Helen Bedford, PhD, FRCPCH

Professor of Children's Health

UCL Institute of Child Health

London

UK

Disclosures

HB declares that she has no competing interests.

Acknowledgements

Dr David Elliman and Professor Helen Bedford would like to gratefully acknowledge Dr Kristin Furfari, a previous contributor to this topic.

Disclosures

KF declares that she has no competing interests.

Peer reviewers

Ravi Ubriani, MD, FAAD

Assistant Professor of Clinical Dermatology

Columbia University

New York

NY

Disclosures

RU declares that he has no competing interests.

Christopher D. Huston, MD

Assistant Professor of Medicine

Division of Infectious Diseases

University of Vermont College of Medicine

Burlington

VT

Disclosures

CDH declares that he has no competing interests.

Kristine Macartney, MBBS, BMedSci, MD, FRACP

Deputy Director

National Centre for Immunisation Research and Surveillance

Postgraduate Fellow

Department Of Microbiology and Infectious Diseases

The Children’s Hospital

Westmead

New South Wales

Australia

Disclosures

KM declares that she has no competing interests.

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