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[Clinical and laboratory features of mumps in hospitalized children in 2003-2004 epidemics]
Beata Kodź1, Michał Domański, Agata Wierzchowska
1Klinika Obserwacyjno-Zakaźna Dzieci Akademii Medycznej w Białymstoku.
Objectives:
The frequency and duration of hospitalization as well as symptoms and chosen laboratory tests in children with mumps hospitalized during 2003-2004 epidemics.
Methods:
The inpatients records of children with mumps hospitalized from January 2003 to September 2004 at the Clinic of Pediatric Infectious Diseases in Bialystok were reviewed.
Results:
At this time, the percentage of hospitalizations due to mumps increased from 1.6% up 34.3% in December 2003. The main cause of hospitalizations was mumps meningitis (81.4%). Children with mumps orchitis (3.4%), pancreatitis (1.9%) and mixed symptomatology i.e. meningitis with pancreatitis (2.3%) or meningitis with orchitis (1.1%) were also hospitalized. Children with pancreatitis needed the most longer time of hospitalization (16 days). The analysis of the laboratory tests revealed that serum lipase has the most diagnostic value for mumps pancreatitis and lymphocytic pleocytosis for meningitis.
Conclusion:
Mumps-associated morbidity could be limited if susceptible children population
Insights
During the 2003-2004 mumps epidemics, hospitalizations surged, primarily due to mumps meningitis. Laboratory tests like serum lipase and lymphocytic pleocytosis proved valuable for diagnosis.
Area of Science:
- Pediatric Infectious Diseases
- Epidemiology
Context:
- The study examines pediatric hospitalizations during the 2003-2004 mumps epidemics.
- Focuses on clinical presentation, diagnostic methods, and hospitalization patterns.
Purpose:
- To analyze the frequency, duration, symptoms, and laboratory findings of children hospitalized with mumps.
- To identify key diagnostic markers for mumps-related complications.
Summary:
- Hospitalizations for mumps increased significantly, with mumps meningitis being the most common diagnosis (81.4%).
- Other complications included orchitis and pancreatitis, with pancreatitis requiring longer hospital stays (16 days).
- Serum lipase and lymphocytic pleocytosis were identified as valuable diagnostic indicators for pancreatitis and meningitis, respectively.
Impact:
- Highlights the significant burden of mumps on pediatric healthcare systems during epidemic periods.
- Provides insights into effective diagnostic strategies for mumps complications.
- Informs public health strategies for limiting mumps-associated morbidity.
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