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Mumps

Evidence last reviewed: 24 Sep 2026
Topic last updated: 06 Oct 2026

Summary

Definition

History and exam

Key diagnostic factors

  • parotitis
  • history of missed or no vaccination or possible vaccine failure (primary or secondary)
Full details

Other diagnostic factors

  • constitutional symptoms
  • orchitis
  • oophoritis
  • aseptic meningitis
  • mastitis
  • encephalitis
  • deafness
Full details

Risk factors

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

Diagnostic tests

1st tests to order

  • salivary mumps IgM
  • reverse transcriptase PCR
Full details

Tests to consider

  • CBC and differential
  • serum mumps IgM
  • serum mumps IgG
  • serum amylase
  • viral culture (CSF, saliva, or urine)
  • lumbar puncture
  • CT head
Full details

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

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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Referências

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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.
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  • Diretrizes

    • 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 Diretrizes
  • Folhetos informativos para os pacientes

    Measles, mumps, and rubella: should my child have the MMR vaccine?

    Mais Folhetos informativos para os pacientes
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