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Updated: Aug 8, 2026

Antigen-Capture Enzyme-Linked Immunosorbent Assay for Specific Detection of Mycoplasma pneumoniae
Published on: February 24, 2023
[Mumps--an underestimated disease]
Ewa Duszczyk1, Beata Krynicka-Czech, Ewa Talarek
1Klinika Chorób Zakaźnych Wieku Dzieciecego Instytutu Chorób Zakaźnych i Pasozytniczych Akademii Medycznej w Warszawie. emduszczyk@poczta.onet.pl
Unlabelled:
In countries, where vaccination against mumps is not obligatory, epidemic increase in morbidity is observed every 4-5 years. In Poland vaccination had not been obligatory until 2004. Year 2004 was an epidemic year--135,178 cases were reported. In 2005 (up to 31.07.05) 64,062 cases were noted and many hospitalizations. The aim was analysis of clinical course of mumps in children hospitalized between 1.01.04 and 31.07.05.
Material And Methods:
292 children in age from 11 months to 16 years, 90 (30,8%) girls and 202 (69,2%) boys. Diagnosis of mumps was based on typical clinical picture, history of exposure and amylase activity in serum and urine. 111/292 (38%) children were referred to the hospital with suspicion of meningitis: in 68/292 (23,3%) lymphocytic meningitis was diagnosed (49 boys and 19 girls) and in 43 meningeal signs were not observed. Orchitis was observed in 48/202 (23,76%) boys 12-16 years old, in 3 of them both testes were affected. In 3 boys meningitis and orchitis were diagnosed, in one of them with encephalitic symptoms. 73/292 (25%) children were admitted to the hospital because of emesis and dehydration. 43/292 were hospitalized with suspicion of meningitis. 15 children were admitted because of high fever with poor response for antipyretics. In two children unilateral deafness was observed. In two children edema of subcutaneous tissue of upper chest. In remaining cases mumps was diagnosed in children with hematologic and oncologic diseases, kidney failure, congenital defects.
Conclusions:
Complications of mumps and need for hospitalization in children with mumps still are problems of public health. The only method of prophylaxis is accurate vaccination pragramme.
Insights
Mumps complications, including meningitis and orchitis, frequently required hospitalization for children during a 2004-2005 epidemic in Poland. Comprehensive vaccination programs are essential for mumps prevention.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Context:
- Mumps morbidity significantly increased in Poland following the non-obligatory vaccination policy, with 2004 being an epidemic year.
- Analysis focuses on hospitalized children during a period of heightened mumps activity (January 2004 - July 2005).
Purpose:
- To analyze the clinical presentation and complications of mumps in hospitalized children.
- To understand the public health impact of mumps outbreaks in a non-vaccination context.
Summary:
- The study reviewed 292 children (11 months to 16 years) hospitalized with mumps.
- Common complications included lymphocytic meningitis (23.3%), orchitis in adolescent males (23.76%), and dehydration (25%).
- Other observed complications were unilateral deafness and subcutaneous edema, with mumps also diagnosed in children with severe underlying conditions.
Impact:
- Mumps continues to pose a significant public health challenge due to its complications and hospitalization needs in children.
- Effective vaccination programs are crucial for the prevention and control of mumps outbreaks.
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