Mumps: Causes, Diagnosis, and Treatment
Mumps is an extremely contagious viral infection of the salivary glands that most commonly affects children. The most obvious symptom is swelling of one or both of the salivary glands on the sides of the face.
These glands are called the parotid glands, when they swell, the patient develops a “hamster-like” face. Sometimes the mumps virus can also cause inflammation of the testis, ovary, pancreas, or meninges.
Once someone has had mumps, they usually become immune to future infections.
To reduce the spread of mumps, the MMR (measles, mumps, and rubella) vaccine is often given at an early age to help the body become immune to the virus.
Since the MMR vaccination was brought in, there has been a 99 percent decrease in mumps cases in the United States.
Fast facts on mumps
Here are some key points about mumps. More detail and supporting information is in the main article.
- Mumps is extremely contagious
- Around 20 percent of people with the mumps virus show no symptoms
- Negative consequences of the MMR injection are incredibly rare
- There is no antiviral treatment for mumps; only the symptoms can be medicated
Contents of this article:
- MMR vaccination side effects
- Prevent mumps spreading
Symptoms of mumps
Mumps most commonly affects the salivary glands
The symptoms of mumps normally appear 2-3 weeks after the patient has been infected. However, almost 20 percent of people with the virus do not suffer any symptoms at all.
The main symptom of mumps is painful and swollen parotid (salivary) glands, which cause the person’s cheeks to puff out. Other symptoms of mumps can include:
- Pain in the sides of the face where it is swollen
- Pain experienced when swallowing
- Trouble swallowing
- Feeling tired and weak
- Fever/high temperature
- A dry mouth
- Pain in joints
- Reduced appetite
Rarely, adults can contract mumps. In these cases, the symptoms are generally the same, but sometimes slightly worse.
Causes of mumps
Mumps is due to an infection by the mumps virus. It can be transmitted by respiratory secretions (e.g. saliva) from a person already affected with the condition. When contracting mumps, the virus travels from the respiratory tract to the salivary glands and reproduces, causing the glands to swell.
Examples of how mumps can be spread include:
- Sneezing or coughing
- Using the same cutlery and plates as an infected person
- Sharing food and drink with someone who is infected
- Someone infected touching their nose or mouth and then passing it onto a surface that someone else may touch
Individuals infected with the mumps virus are contagious for approximately 15 days (6 days before the symptoms start to show, and up to 9 days after they start). The mumps virus is part of the paramyxovirus family, a common cause of infection, especially in children.
Tests and diagnosis of mumps
Normally, mumps can be diagnosed by its symptoms alone, especially by examining the facial swelling. In addition to examining this area and taking a note of the symptoms, a doctor might:
- Check inside the mouth to see the position of the tonsils – when infected with mumps, a person’s tonsils can get pushed to the side
- Take the patient’s temperature
- Take a sample of blood, urine, or saliva for testing
- Take a sample of CSF (cerebrospinal fluid) from the spine for testing – this is usually only in severe cases
Treatment for mumps
Because mumps is viral, antibiotics cannot be used to treat it, and at present, there are no anti-viral medications that can treat mumps.
Current treatment can only help relieve the symptoms until the infection has run its course and the body has built up an immunity, much like a cold. In most cases, people recover from mumps within 2 weeks.
Steps that can be taken to help relieve the symptoms of mumps include:
- Consuming plenty of fluids, ideally water – avoid fruit juices as they stimulate the production of saliva, which is painful for someone with mumps.
- Putting something cold on the swollen area to alleviate the pain.
- Eating mushy or liquid food as chewing will also be painful.
- Getting sufficient rest and sleep.
- Gargling warm salt water.
- Taking painkillers such as acetaminophen or ibuprofen.
Prevention of mumps
The MMR vaccine prevents mumps, measles, and rubella.
The mumps vaccine is the best method for preventing mumps; it can come on its own or as part of the MMR vaccine. The MMR vaccine also defends the body from rubella and measles.
The MMR vaccine is given to an infant when they are just over 1 year old and again, as a booster, just before they start school.
Anyone born after the 1990s would most probably have been given the MMR vaccine but if unsure it is always advised to check with a doctor.
The mumps vaccine is routinely given to children in 82 countries. In many of these countries, encephalitis and deafness related to mumps have nearly disappeared.
An adult can be given the MMR at any age; a doctor may advise someone to take the vaccine before traveling abroad to certain areas of the globe. These areas include:
- Some parts of Africa
- Southeast Asia
Other reasons someone may be advised to have the MMR vaccine in adulthood is if they are:
- Working in healthcare e.g. hospital or medical facility
- Working or attending somewhere with lots of young people, such as a college
- Working in a school or around lots of children
If suffering from cancer or a disease that lowers the immune system, a doctor would need to be consulted before the MMR vaccine is considered. Individuals are not advised to have the MMR vaccine if:
- The patient’s immune system is seriously compromised
- The patient has had an allergic reaction to neomycin (a type of antibiotic) or gelatin
- The patient is pregnant or soon to be pregnant (in the next four weeks)
MMR vaccine side effects
Most people given the MMR vaccine do not suffer side effects, and the disease itself cannot be contracted from the vaccine. A small percentage might develop a rash or fever and possibly aches in their joints. Less than one in a million will suffer a severe allergic reaction from the MMR vaccine.
Preventing the spread of mumps
There are a number of precautions that will help prevent the spread of infection; these are as follows:
- Washing hands with water and soap frequently
- Not going into work/school until 5 days after the symptoms start
- Covering the nose and mouth with a tissue when sneezing or coughing
Complications of mumps
Complications are more frequent in adults than children, the most common are:
- Orchitis – testicles swell and become painful, this happens to 1 in 5 adult males with mumps. The swelling normally diminishes within 1 week; tenderness can last longer than that. This condition rarely results in infertility.
- Oophoritis – ovaries swell and are painful, this is even less frequent than orchitis and occurs in 1 in 20 adult females. The swelling will subside as the immune system fights off the virus. This rarely results in infertility.
- Viral meningitis – this is one of the rarest of the common complications. It happens when the virus spreads through the bloodstream and infects the body’s central nervous system (brain and spinal cord).
- Inflamed pancreas – pain will be experienced in the upper abdomen; this occurs in 1 out of 20 cases and is usually mild.
If a pregnant woman contracts mumps within the first 12-16 weeks of her pregnancy, she will have a slightly increased risk of miscarriage.
Rarer complications of mumps include:
- Encephalitis – the brain swells causing neurological issues. In some cases, this can be fatal. This is a very rare risk factor and affects just 1 in 6,000 cases.
- Hearing loss – this is the rarest of all the complications affecting just 1 in 15,000.
As rare as some of these complications are, it is important to seek medical advice or help if an individual suspects they, or their child, are developing any of them.