Symptoms of mumps in babies

summary

Mumps in children is an acute respiratory infectious disease caused by mumps virus, which is worldwide distributed. It belongs to class C infectious disease in China. It can occur throughout the year, with the peak in winter and spring. Most of them occur in children and are sporadic or epidemic. They can form an outbreak in collective children's institutions. What are the symptoms of baby mumps?

Symptoms of mumps in babies

Parotid gland enlargement precedes one side and then the other side. There are also cases of parotid gland enlargement only on one side or without parotid gland enlargement. Swelling is characterized by the earlobe as the center, to expand around, the edge is not clear, touch the elastic sensation and tenderness, the surface of the skin is not red. The range of swelling is up to zygomatic arch, sternocleidomastoid muscle, submaxillary and neck. Parotid swelling peaked in 3-5 days, then gradually reduced, generally subsided in about 1 week, occasionally extended to 2 weeks. Sometimes submandibular gland and sublingual gland can be enlarged, the former is more common, some cases only submandibular gland enlargement and parotid gland is not big. The submandibular gland, sublingual gland and parotid gland of some children have no obvious swelling, but only viremia or complications. The orifice of parotid gland is red and swollen.

Children with parotid gland local pain and hypersensitivity, mouth opening and chewing more obvious. The degree and duration of the increase of body temperature were not related to the degree of parotid gland enlargement. The duration of fever varies from 1 to 2 days, and a few can reach 2 weeks. Fever is mostly moderate, low fever and high fever are rare, about 20% of the body temperature is always normal.

Mumps virus can also invade the gonad, showing orchitis or ovaritis. The former is more common than the latter, which may be related to the clinical easy to find. This complication is more common in adolescents or adults than in children. Most of them occurred in 3-13 days after parotid gland swelling, and only 2% - 3% of them occurred in both sides. The clinical manifestations included high fever, headache, nausea, vomiting and local pain. Scrotum swelling, red skin. The course of disease is about 10 days. The incidence of oophoritis is less than that of orchitis, and the clinical symptoms are also light, only waist pain, lower abdomen tenderness, menstrual disorders, etc. About 30% - 50% of the testes or ovaries atrophied in different degrees, and those with bilateral atrophy could lead to infertility.

matters needing attention

Live attenuated mumps vaccine has been proved to be safe and effective. Recently, measles, rubella and mumps triple vaccine are often used. After inoculation, the antibody positive conversion rate can reach 96%, and the protective effect of mumps natural infection can reach 97%. The neutralizing antibody can maintain for at least 9.5 years after immunization. The vaccine generally has no fever or other reactions, but it should not be used in pregnant women, children with immune deficiency and egg allergy. Patients should be isolated until the parotid swelling completely disappeared. The contact should be checked day by day. If there are suspicious symptoms, they should be isolated for observation. Collective children's institutions should be quarantined for three weeks.