Mumps is caused by viral infection and is associated with inflammation of salivary glands, in particular parotid glands. It is a highly infectious disease which typically presents with symptoms of viral infection, painful cheeks and jaw. It mainly affects children but in adult males it can cause orchitis and sterility.
Medications:
Mainstay of treatment is supportive therapy:
- Children – Syrup Brufen Junior (Ibuprofen 100mg/5ml) – 5mg/kg thrice a day for 3 days.
- Adults – Tab. Combiflam (Ibuprofen 400 mg + Paracetamol 325 mg) – one tablet thrice a day for 3 days.
For orchitis (non-diabetic patients) – Tab. Zempred 4 (Methylprednisolone 4mg):
- Day 1 – 1 tablet 4 times a day (8 am, 12 pm, 4 pm, 8 pm).
- Day 2 – 1 tablet 3 times a day (8 am, 4 pm, 8 pm).
- Day 3 – 1 tablet twice a day (8 am, 8 pm).
- Day 4 – 1 tablet once a day (8 am).
For secondary bacterial infections:
Children:
- Dry syrup Moxikind CV (Amoxicillin 200 mg, Clavulanic acid 28.5 mg) – 12.5 mg/kg twice a day for 10 days.
- Cap. Flora BC (Lactic acid bacillus, Pyridoxine, Nianicamide, Folic acid) – 5 mls twice a day for 10 days.
Adults:
- Tab. Moxikind CV 625 (Amoxicillin 500 mg, Clavulanate 125 mg) – 1 tablet twice a day for 7 days.
- Cap. Flora BC (Lactic acid bacillus, Pyridoxine, Niacinamide, Folic acid) – 1 capsule twice a day for 10 days.
General advice:
- Liquid diet to maintain nutrition during acute phase.
- Room isolation for up to 2 weeks from the onset of symptoms.
Investigations:
- Mumps IgM – At the onset of symptoms to detect presence of mumps.
- Mumps IgG titre – Two tests are needed (first at the onset of symptoms and next after 5 weeks) – A significant rise in IgG levels suggests immunity to mumps.
Immunisation:
- Consider MMR immunisation for persons in direct contact with the patient.