There is a prodrome of fever, headache, sore neck, and malaise followed by parotid swelling that may be rapid at first and peaks at 3 days. The swelling is preauricular and extends downward to obscure the angle of the jaw and reaches the mastoid. The ear is pushed upwards and out. The gland is tender and eating spicy or sour foods will increase the pain There may be swelling around Stenson's duct on the buccal mucosa. Complications Aseptic meningitis.
Treatment is local support and analgesics.
Pancreatitis, myocarditis, nephritis, thyroiditis, unilateral hearing loss, eye involvement Mumps in pregnant women has been associated with an increased rate of spontaneous abortion but not with an increase in congenital malformations. Diagnosis Clinical diagnosis but may be confirmed by getting antibody titers 2 weeks after the acute infection. The patients are contagious for 9 days after the onset of parotid swelling. The use of vaccine after munps exposure in not effective in preventing the disease References Gold, Eli.