What is an epidemic parotitis (mumps)?
Mumps epidemic (mumps) – is a viral disease with general intoxication, an increase of one or more salivary glands, often defeat other glandular organs and nervous system. Pathogen – a virus spherical shape, having tropism for the glandular and nervous tissues. Not only is resistant to physical and chemical factors. The source of the disease is a sick man. Infection occurs through droplets, not exclude the possibility of contact transmission. The virus is found in saliva at the end of the incubation period for 3-8 days, after which virus isolation is terminated. Outbreaks are often local in nature.
Epidemic parotitis (mumps) symptoms
Symptoms, signs and course of epidemic parotitis (mumps).
The incubation period is usually 15-19 days. There is a short prodromal (initial) period, when there is a weakness, malaise, muscle aches, headache, chilling, sleeping, appetite. With the development of inflammatory changes in the salivary gland shows signs of its destruction (dry mouth, pain in the ear, increasing in chewing, talking). The disease can be mild or severe illness.
Depending on this temperature may be from subfebrile digits to 40 degrees Celsius, intoxication also depends on the severity. Characteristic manifestation of the disease – the defeat of the salivary glands, usually the parotid. Iron increases, there is tenderness to palpation, which is particularly expressed in front of the ear, behind the ear lobe and in the mastoid process. Great diagnostic importance is the symptom Mursona-inflammatory reaction in ductless affected the parotid gland. The skin over the inflamed gland tense, shiny, swelling may extend to the neck. Increased cancer usually lasts 3 days, the maximum swelling is kept for 2-3 days. Against this background, can develop different, sometimes severe complications: meningitis, meningoencephalitis, orchitis, pancreatitis, labyrinthitis, arthritis, glomerulonephritis.
Treatment of epidemic parotitis (mumps).
Bed rest for 10 days. Compliance with the milk-vegetable diet, restriction of white bread, fat, crude fiber (cabbage).
When orhite appointed jockstrap, prednisolone 5-7 days according to the scheme Revatio, Phentrimine, Evening Primrose Oil.
When meningitis applied corticosteroids, spend lumbar puncture, intravenously injected 40% hexamine solution. In-developed acute pancreatitis is appointed by the liquid light diet, atropine, papaverine, cold on his stomach, vomiting – and chlorpromazine drugs that inhibit enzymes – gordoks, kontrikal trasilol. Weather favorable.
Prevention of epidemic parotitis (mumps).
In institutions in identifying cases of mumps established quarantine for 21 days, active medical surveillance. Children who have had contact with mumps patients are not permitted in institutions from 9th day incubation period at 21th day, he entered the placental gamma globulin. Disinfection in foci is not performed.
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Tags: disease, ear, epidemic, gland, incubation, intoxication, meningitis, mumps, parotitis, salivary, swelling, virus