What causes mumps in children?

Written by Hu Qi Feng
Pediatrics
Updated on September 11, 2024
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Mumps in children is an acute respiratory infectious disease caused by the mumps virus, characterized primarily by the enlargement of the salivary glands. It can be complicated by meningitis and pancreatitis. Clinically, it presents as mumps with symptoms including fever, headache, loss of appetite, and discomfort. Within 24 hours, pain beneath the earlobe occurs, with the center of the earlobe presenting a saddle-like shape, swelling accompanied by pain. The salivary glands shrink after four to five days, and the salivary duct appears red and swollen, which aids in diagnosis. Some children may also develop complications such as meningitis and pancreatitis. After the age of ten, male children may experience complications like orchitis.

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Internal Medicine
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How is mumps caused?

There are several causes of mumps, which can be infectious, immune, obstructive, and idiopathic. The commonly referred mumps primarily refers to epidemic mumps, a prevalent infectious disease caused by the mumps virus infection in humans. Additionally, there is suppurative mumps, an acute bacterial condition mainly caused by Staphylococcus aureus, followed by Streptococcus. Some immune types of mumps, like Sjögren's syndrome, can cause chronic, autoimmune, and immune mumps. Therefore, identifying the cause of mumps and providing timely symptomatic treatment is essential.

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Pediatrics
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Treatment methods for children's mumps

Mumps currently has no specific antiviral treatment; treatment is primarily symptomatic. It is important to maintain oral cleanliness, provide a light diet, avoid acidic foods, and drink plenty of water. For symptoms such as high fever and headache, or concurrent inflammation of the testicles, antipyretic analgesics should be administered. Traditional Chinese medicine treatments often involve clearing heat and detoxifying, softening hardness and relieving pain. Common treatments include modified Puji Xiaodu Yin taken orally or Qing Dai mixed with vinegar applied topically. Under medical guidance, ribavirin can be used in the early stages of the disease, administered intravenously at a dose of 10 to 15 milligrams per kilogram of body weight per day, with a treatment course of 5 to 7 days. Corticosteroids may be used for severe cases for a short course of three to five days.

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How long is the isolation period for mumps?

The mumps we commonly refer to is an acute contagious disease caused by the mumps virus. It is transmitted through close contact with an infected individual or someone carrying the virus. Therefore, it is crucial to isolate individuals diagnosed with mumps in certain situations. Patients with mumps can shed the virus in their saliva from 7 days before until 9 days after the swelling of the salivary glands, making roughly a two-week period during which the infectiousness is at its peak. Therefore, patients with mumps need to be isolated for about two weeks to prevent the transmission of the virus to others.

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best method to treat mumps

The best treatment for mumps mainly depends on the specific condition of the child. If it is bacterial mumps, give the child some anti-infection drugs for treatment, and if there is suppuration, antibacterial treatment is necessary, along with standardized treatment. There is also epidemic mumps. If it is epidemic mumps, it is necessary to apply topical medications and timely administer oral antiviral drugs to the child because epidemic mumps is a self-healing infectious disease. Pay attention to a light, easily digestible diet, and avoid giving the child spicy and greasy foods.

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What are the symptoms of mumps?

In clinical settings, there are two types of mumps: suppurative mumps and epidemic mumps. Suppurative mumps is caused by Staphylococcus aureus infection; while epidemic mumps is caused by a mumps virus infection. Particularly severe cases of mumps can have serious complications including fever, orchitis, pneumonia, etc. Thus, it is crucial to detect and treat it early. Common symptoms of suppurative mumps include swelling and pain in the salivary glands, with redness, swelling, heat, and pain appearing prominently. When pressure is applied to the swollen gland, pus can be seen flowing from the salivary duct. Epidemic mumps usually has an acute onset and is more common in the winter and autumn. It also features enlargement of the salivary glands, accompanied by headache, fever, and loss of appetite. There will be redness and swelling around the mouth, eventually developing into central swelling at the earlobe, affecting eating, and with localized feverish skin.