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Pediatric mumps with laryngeal edema.
Yujiro Hattori1, Yasufumi Oi, Ryo Matsuoka
1From the Departments of *Pediatrics, and †Emergency Medicine, Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan.
Pediatric Emergency Care
|October 3, 2013
Summary
Mumps virus infection can cause rare but dangerous laryngeal edema, even in children. Prompt airway management is crucial for pediatric patients with severe neck swelling during mumps.
Area of Science:
- Pediatrics
- Infectious Diseases
- Otolaryngology
Background:
- Mumps virus primarily targets salivary glands, but can lead to severe complications.
- Laryngeal edema is a rare complication of mumps, with very few reported adult cases.
- Pediatric cases of mumps-induced laryngeal edema are exceptionally rare.
Observation:
- An 8-year-old boy presented with dyspnea and rapidly progressing facial/neck swelling.
- Laryngoscopy and CT scans confirmed significant laryngeal edema and cervical soft tissue swelling.
- Laboratory results indicated mumps virus infection with elevated serum amylase.
Findings:
- The patient required temporary tracheal intubation for airway patency.
- Intravenous steroid treatment improved dyspnea.
- No tracheotomy or further complications were necessary.
Implications:
- Laryngeal edema is a critical, life-threatening complication of mumps in pediatric patients.
- Early recognition and airway management are vital for children with mumps and significant neck swelling.
- This case highlights the need for vigilance regarding airway obstruction in pediatric mumps cases.
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