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The primary site of viral replication of the epithelium of the upper respiratory or the GI
tract or eye.
The virus quickly spreads to the local lymphoid tissue and a primary viraemia ensues,
whereby the virus spreads to distant sites in the body.
The parotid gland is usually involved but so may the CNS, testis or epididymis, pancreas
and ovary.
A few days after the onset of illness, virus can again be isolated from the blood,
indicating that virus multiplication in target organs leads to a secondary viraemia Parotitis
is the most frequent presentation, occurring in 95% of those with clinical symptoms.
Pathognomonic sign
Gelatinous edema
Signs and symptoms:
Many people do not develop symptoms when they become infected with the mumps
virus, so they may never know they had the infection.
Others develop symptoms such as fever, swollen and tender parotid glands (the
salivary glands located beneath the ears), and headache.
Prevention
In general, the patient is considered immune to mumps if he/she previously had the
infection or if you've been immunized against mumps
The mumps vaccine is usually given as a combined measles-mumps-rubella (MMR)
inoculation
Two doses of the MMR vaccine are recommended before a child enters school
The first between ages 12 and 15 months
The second between ages 4 and 6 years, or between 11 and 12 if not previously
given
In response to a mumps outbreak in the college students and health care workers in
particular are encouraged to make sure they've had two doses of the MMR vaccine.
A single dose doesn't appear to offer sufficient protection during an outbreak.
Had two doses of the MMR vaccine after 12 months of age or one dose of the MMR
vaccine plus a second dose of the measles vaccine
Have blood tests that demonstrate you're immune to measles, mumps and rubella
People with severely compromised immune systems, or people who take oral steroids,
unless the benefits of the vaccine exceed the risks
Patient who are moderately or severely ill. Wait until you recover.
Patient with disease that affects their immune system, such as HIV/AIDS
Patient who are being treated with drugs, such as steroids, that affect their immune
system
Nursing Intervention