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Mumps

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What is mumps?

Mumps is an infectious viral disease that causes fevers and swollen salivary glands, mostly in children. A mumps vaccine is available and given as part of the measles, mumps, rubella (MMR) or measles, mumps, rubella, varicella (MMRV) combined childhood vaccinations.

Causes

Mumps is caused by the mumps virus.

When an infected person sneezes or coughs, the virus spreads via millions of tiny droplets, each containing many viruses that are spread into the air. If a droplet enters your nose or mouth, you may then be infected with the virus. The droplets can also collect on surfaces and objects; you can catch the virus by touching an infected surface and then touching your nose or mouth area.

The mumps can be transmitted from exposure to infected bodily fluids such as saliva. 

Risk factors

Mumps is a classic childhood disease and is found worldwide. The most common age for catching mumps is 5-9 years, and about 90% of people reach their teen years already immune to mumps, as a result of previous exposure or vaccination. [1]

People who catch mumps as adults tend to have more serious symptoms and also stand a higher chance of complications.

Signs and symptoms

The symptoms of mumps usually appear about 2-3 weeks after the infection. About a third of all people infected with mumps have no symptoms at all [1] .

The most distinctive sign of mumps is a painful inflammation of the salivary glands. The salivary glands that are most commonly affected are the two parotid glands, located in the sides of the face. The area can become painful, tender and swollen. This sign, also known as parotitis, appears in 60-70% of all mumps infections [1] . One or both glands may be affected.

Mumps causes parotitis, an inflammation of the salivary glands. 

Other symptoms of mumps can often include:

Symptoms of mumps normally last 3-4 days and parotitis can remain for about 7-10 days, then go away naturally unless there are complications. An infected person is able to infect others for a day or two before parotitis appears and for a period of about a week afterwards.

Methods for diagnosis

Your doctor will diagnose mumps by noting the symptoms, especially the enlarged salivary glands. That is usually enough, but blood tests (checking for the presence of the virus and for antibodies against it) can confirm the diagnosis if necessary.

Types of treatment

There is no specific treatment for mumps. Treating a mumps patient focuses on relieving the symptoms while the patient's immune system handles the disease.

Some measures that can be taken to ease the effect of mumps symptoms are:

Relieving pain of the parotid glands

If the parotid glands swell and become painful, some things you can do to ease the pain and discomfort include:

Potential complications

Mumps is usually not a serious condition. In rare cases, complications can be annoying and in even rarer cases, serious or even life-threatening. Some of the more common complications of mumps include:

Swollen testicles

An inflammation of a testicle, or orchitis, appears in about 15-30% of teenage and adult males who are infected with mumps. The testicle may enlarge, be painful and tender to the touch. In about 20% of orchitis cases, both testicles are affected [1] .

The discomfort can be relieved somewhat by warm compresses and by wearing supportive underwear. The condition usually goes away naturally after about four days, but can occasionally last for up to six weeks.

Orchitis can sometimes reduce fertility and in rare cases, cause infertility.

Swollen ovaries, swollen breasts

An inflammation of the ovaries, or oophiritis, can appear in about 5% of teenage and adult women infected with mumps [1] . The infected woman can feel ill, have a fever and pain in her pelvis and lower abdomen.

Inflammation of the breast, or mastitis, can also occur in teenage or adult females.

Miscarriage in first trimester

Women who are infected with mumps during the first trimester of pregnancy are in danger of miscarriage. However, a mumps infection during pregnancy has not been found to cause any birth defects in pregnancies that carry to full term.

Viral meningitis and encephalitis

An inflammation of the membranes around the brain (meningitis) or of the brain itself (encephalitis) can occur as a result of a mumps infection, especially in male teenagers and adults. It can cause nausea, vomiting and sensitivity to light. It usually passes within two weeks. Serious, life-threatening meningitis and encephalitis can occur as a result of mumps, but is uncommon.

Temporary deafness

A small number of people who contract mumps will experience hearing loss, or even become temporarily deaf in one or both ears. This will usually pass, along with the other symptoms of mumps, but permanent hearing loss can occur in some cases.

Pancreatitis

Severe inflammation of the pancreas, or pancreatitis, is a rare complication of mumps [1] .

Prognosis

Mumps is usually not a serious health risk and goes away naturally after a few days. Long-term harm is rare.

Prevention

A mumps vaccine is available and given routinely to children, usually from 12 months of age, as part of the measles, mumps, rubella (MMR) or measles, mumps, rubella, varicella (MMRV) combined vaccine.

In case of an outbreak of mumps in a community, unvaccinated children may be asked to stay home and not come to day care or school until the situation improves.

A vaccine to prevent the mumps infection is available. 

References

  1. Hviid A. Rubin S. and Mühlemann K. (2008) Mumps. The Lancet 371:932–944.
  2. Bale J.F. (2014). Measles mumps rubella and human parvovirus B19 infections and neurologic disease. In Handbook of Clinical Neurology (Vol. 121). Elsevier. Accessed from link here
  3. CDC - Measles Mumps and Rubella (MMR) Vaccine - Vaccine Safety. Accessed 7 July 2014 from link here
  4. CDC - Mumps: Disease Description - Clinical Questions and Answers. (-a). Accessed 7 July 2014 from link here
  5. CDC - Mumps: Disease Description - Clinical Questions and Answers. Accessed 7 July 2014 from link here
  6. CDC - Mumps: Overview. (-b). Accessed 7 July 2014 from link here
  7. Hviid A. Rubin S. & Mühlemann K. (2008). Mumps. The Lancet 371: 932944.
  8. Mumps. Text. Accessed 7 July 2014 from link here
  9. Mumps: Questions and Answers - p4211.pdf. Accessed 7 July 2014 from link here
  10. Pilkington R. (2008). Mumps awareness. British Dental Journal 205: 114114.
  11. REH_07.indd - wer8207mumps_Feb07_position_paper.pdf. Accessed 7 July 2014 from link here

11 Most frequently asked questions (FAQs)

What is mumps?
Mumps is an infectious viral disease that causes fevers and swollen salivary glands, mostly in children.
What are the symptoms of mumps?
The most distinctive sign of mumps is swelling and tenderness of the salivary glands. The salivary glands that are most commonly affected are the two parotid glands, located in the sides of the face. This appears in about half of all mumps infections. One or both of the glands may be affected. Other symptoms of mumps resemble symptoms of flu, which include mild fevers, headache, muscle ache, lack of appetite and feeling tired.
What causes mumps?
Mumps is caused by the mumps virus, which is easily spread by coughing or touching contaminated surfaces.
Who gets mumps?
Anyone can get mumps, but it is most often a childhood disease, with children five to nine years of age the most commonly infected. About 90% of people reach puberty already immune to mumps.
How is mumps diagnosed?
Your doctor will diagnose mumps by noting the symptoms, especially the enlarged salivary glands. That is usually enough, but blood tests (checking for the presence of the virus and for antibodies against it) can confirm the diagnosis if necessary.
How is mumps treated?
There's no special treatment for mumps. Treatment usually consists of bed rest, plenty of fluids, and easing the pain in the parotids.
Will mumps clear on its own?
Mumps normally clears on its own after a few days.
Is mumps contagious?
Mumps is a contagious disease, spread by sneezes and coughs.
Can mumps be prevented?
Mumps can be prevented by vaccination.
Is mumps serious?
Mumps is usually not a serious condition. In rare cases, complications can be annoying and in ever rarer cases, serious or even life-threatening.
What happens if mumps occurs during pregnancy?
A woman who catches mumps during her first trimester of pregnancy may have an increased risk of miscarriage.

Related topics

Measles

Measles is a highly contagious viral disease which mainly affects children. Children who get measles typically have a fever, sore throat, spots in the mouth and a generalised skin rash. There can be serious complications from measles. Fortunately, it is now rare in developed nations due to the measles vaccine.

Dengue fever

Dengue fever is an infectious viral disease transmitted by mosquitoes in tropical and sub-tropical climates. Most people with dengue fever suffer unpleasant symptoms, such as fever, headache and vomiting, but will make a full recovery. However, repeated infections can result in a form of haemorrhagic fever.

Meningitis

Meningitis is an inflammation of the protective layers surrounding the brain and spinal cord. Viral meningitis is more common, however it is the bacterial meningitis that is dangerous with potential serious complications. Meningitis requires prompt medical assessment.

Mononucleosis

Mononucleosis, or glandular fever, is a common disease affecting mainly adolescents and young adults. Also known as the ‘kissing disease’, it is commonly spread through saliva. It causes a fever, tiredness, sore throat and swollen lymph glands. The majority of cases make a good recovery, although it can take several months to improve from the tiredness.

About this article

Title: Mumps

Author: Dr Idan Ben-Barak PhD, MSc, BSc (Med)

First Published: 22 Sep 2014

Last reviewed: 17 Jan 2022

Category: Information on Mumps

Average rating: 4.7 out of 5 (1425 votes)

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