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Mumps presenting with unilateral, synchronous parotid and submandibular gland swelling

Connor Boyle1,2, Panagiotis Asimakopoulos2, Elham Khatamzas3

  • 1Division of Health Sciences, University of Edinburgh, Edinburgh, UK.

BMJ Case Reports
|September 6, 2018
PubMed

Insights

A previously healthy woman presented with unusual unilateral swelling of the parotid and submandibular glands. Despite full immunization, she was diagnosed with mumps virus, highlighting a rare clinical presentation.

Area of Science:

  • Infectious Diseases
  • Virology
  • Immunology

Background:

  • Mumps typically presents with bilateral parotid gland swelling.
  • Vaccination is highly effective in preventing mumps virus infection.

Observation:

  • A 22-year-old woman experienced acute, unilateral facial and neck swelling, fever, and malaise.
  • CT imaging revealed synchronous inflammation of both parotid and submandibular glands.
  • A PCR swab from the parotid duct confirmed mumps virus.

Findings:

  • The patient was fully immunized against mumps.
  • No known contact with individuals diagnosed with mumps.
  • Unilateral, synchronous parotid and submandibular gland involvement is a rare mumps presentation.

Implications:

  • This case suggests mumps can present atypically even in vaccinated individuals.
  • Further research may be needed to understand unusual mumps presentations.
  • Highlights the importance of considering mumps in differential diagnoses of unilateral facial swelling.

Keywords:
ear, nose and throat/otolaryngologyotolaryngology / ENT

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