Summary
Definition
History and exam
Key diagnostic factors
- parotitis
- history of missed or no vaccination or possible vaccine failure (primary or secondary)
Other diagnostic factors
- constitutional symptoms
- orchitis
- oophoritis
- aseptic meningitis
- mastitis
- encephalitis
- deafness
Risk factors
- unvaccinated status
- immunosuppression
- healthcare worker
- international traveler
- close-contact living (college students, prisoners, military)
- vaccine failure
Diagnostic tests
1st tests to order
- salivary mumps IgM
- reverse transcriptase PCR
Tests to consider
- CBC and differential
- serum mumps IgM
- serum mumps IgG
- serum amylase
- viral culture (CSF, saliva, or urine)
- lumbar puncture
- CT head
Treatment algorithm
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
Declarações
HB declares that she has no competing interests.
Agradecimentos
Dr David Elliman and Professor Helen Bedford would like to gratefully acknowledge Dr Kristin Furfari, a previous contributor to this topic.
Declarações
KF declares that she has no competing interests.
Revisores
Ravi Ubriani, MD, FAAD
Assistant Professor of Clinical Dermatology
Columbia University
New York, NY
Declarações
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
Declarações
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
Declarações
KM declares that she has no competing interests.
Créditos aos pareceristas
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Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
Di Pietrantonj C, Rivetti A, Marchione P, et al. Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database Syst Rev. 2021 Nov 22;11:CD004407.Texto completo Resumo
Centers for Disease Control and Prevention. Child and adolescent immunization schedule by age (addendum updated July 2, 2025): recommendations for ages 18 years or younger, United States, 2025. Jul 2025 [internet publication].Texto completo
Centers for Disease Control and Prevention. Adult immunization schedule by age (addendum updated July 2, 2025): recommendations for ages 19 years or older, United States, 2025. Jul 2025 [internet publication].Texto completo
Marin M, Marlow M, Moore KL, et al. Recommendation of the Advisory Committee on Immunization Practices for use of a third dose of mumps virus-containing vaccine in persons at increased risk for mumps during an outbreak. MMWR Morb Mortal Wkly Rep. 2018 Jan 12;67(1):33-8.Texto completo Resumo
UK Health Security Agency. Mumps: the Green Book chapter. Apr 2026 [internet publication].Texto completo
McLean HQ, Fiebelkorn AP, Temte JL, et al. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14;62(RR-04):1-34.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Parainfluenza
- Coxsackievirus
- Acute HIV infection
Mais Diagnósticos diferenciaisDiretrizes
- Mumps: the Green Book chapter
- Adult immunization schedule by age (addendum updated July 2, 2025): recommendations for ages 19 years or older, United States, 2025
Mais DiretrizesFolhetos informativos para os pacientes
Measles, mumps, and rubella: should my child have the MMR vaccine?
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