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Published on: February 22, 2019
Mumps: current outbreaks and vaccination recommendations
1Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, London.
Abstract:
Mumps is a moderately infectious disease caused by a virus of the paramyxovirus group. The infection is spread by airborne droplets and possibly also by urine. The first symptoms occur after an incubation period of 15-24 days (median 19 days) (Richardson et al, 2001). After a prodromal (warning signs) period of several days with non-specific flu-like symptoms of headache and fever, the classic swelling of the parotid glands (salivary glands) develops. The swelling may be unilateral or, in 90 per cent of cases, bilateral. It is accompanied by abdominal pain and headache and usually resolves in 7-10 days. However, there may be other symptoms of mumps without parotid swelling. Almost one-third of mumps infections are subclinical or mild, with non-specific symptoms, and are never diagnosed as mumps (Gupta et al, 2005).
Insights
Mumps is a moderately infectious viral illness. Many infections are mild or subclinical, presenting with non-specific symptoms, making diagnosis challenging.
Area of Science:
- Virology
- Infectious Diseases
- Epidemiology
Background:
- Mumps is a contagious viral illness caused by a paramyxovirus.
- Transmission occurs via airborne droplets and potentially urine.
- Characterized by an incubation period of 15-24 days followed by flu-like symptoms.
Purpose of the Study:
- To describe the clinical presentation and transmission of mumps.
- To highlight the variability in mumps symptoms, including subclinical cases.
Main Methods:
- Literature review of mumps transmission and clinical manifestations.
- Analysis of incubation periods and symptom progression.
- Review of diagnostic challenges, including asymptomatic infections.
Main Results:
- The classic symptom is parotid gland swelling, occurring unilaterally or bilaterally in 90% of cases.
- Abdominal pain and headache often accompany parotid swelling.
- Approximately one-third of mumps infections are subclinical or mild and often undiagnosed.
Conclusions:
- Mumps presentation can vary significantly, with a substantial proportion of infections being asymptomatic or mild.
- The non-specific prodromal symptoms and possibility of subclinical infections complicate early diagnosis and public health surveillance.
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