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Updated: May 1, 2026

Separation of Immune Cell Subpopulations in Peripheral Blood Samples from Children with Infectious Mononucleosis
Published on: September 7, 2022
[Rate and clinical characteristics of mumps reinfection]
Abstract:
Mumps infection is anecdotally believed to occur only once over a lifetime. However, in recent years, it has gradually come to be recognized among pediatricians that mumps reinfection is not a rare condition, and some criteria for the mumps reinfection have been proposed. One of the widely accepted criteria is levels higher than 25.8 IU/dl of serum IgG antibodies against the mumps virus and lower than 2.0 IU/dl of serum IgM antibodies. From July 2010 to June 2011, 45 patients with acute swelling of the major salivary gland(s) were enrolled into our survey of mumps reinfection in Tsuchiura Kyodo General hospital. Serum IgG and IgM antibodies against the mumps virus were measured at the initial visit. Ten cases were diagnosed as having primary infection with the mumps virus, while the other 10 cases were diagnosed as having reinfection with the mumps virus according to the criteria. The present study suggests that mumps reinfection is a common condition in patients with acute swelling of the major salivary glands in adulthood.
Insights
Mumps reinfection is more common than previously thought, with specific antibody levels helping to identify it. This study found mumps reinfection frequently occurs in adults with salivary gland swelling.
Area of Science:
- Virology
- Immunology
- Epidemiology
Context:
- Mumps infection was historically considered a once-in-a-lifetime event.
- Recent observations suggest mumps reinfection is not rare, particularly in pediatric cases.
- Established serological criteria aid in diagnosing mumps reinfection.
Purpose:
- To investigate the prevalence of mumps reinfection in adults presenting with acute salivary gland swelling.
- To apply established diagnostic criteria for mumps reinfection in a clinical setting.
Summary:
- A survey conducted at Tsuchiura Kyodo General hospital from July 2010 to June 2011 enrolled 45 patients with acute major salivary gland swelling.
- Serum IgG and IgM antibodies against the mumps virus were measured.
- Ten cases of primary mumps infection and ten cases of mumps reinfection were identified based on specific antibody level criteria (IgG >25.8 IU/dl and IgM <2.0 IU/dl).
Impact:
- The study suggests mumps reinfection is a common occurrence in adults experiencing acute major salivary gland swelling.
- Highlights the need to consider reinfection in differential diagnoses for such symptoms.
- Contributes to a better understanding of mumps epidemiology in adult populations.
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