Highlights & Basics
- Mumps classically causes swelling and inflammation of one or both of the parotid glands (parotitis).
- More serious complications, such as meningitis, encephalitis, and orchitis, can occur in the absence of parotitis, potentially delaying accurate diagnosis.
- Diagnosis can usually be made based on the characteristic clinical features of parotitis and prodrome. Laboratory diagnosis is based on serological or salivary confirmation, detection of viral nucleic acid, or isolation of the virus from body fluids.
- Treatment is symptomatic, and the disease is largely preventable through routine vaccination.
- The mumps vaccine, part of the MMR (measles, mumps, and rubella) vaccine, is widely used in developed countries. Despite this, sporadic outbreaks have occurred in highly vaccinated populations, leading to suggestions that the vaccine's efficacy may not be as high as originally thought, and that vaccination policy should be reviewed to possibly include 3 doses.
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Citations
Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections & diseases - mumps. May 2023 [internet publication].[Full Text]
Di Pietrantonj C, Rivetti A, Marchione P, et al. Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database Syst Rev. 2021 Nov 22;11:CD004407.[Abstract][Full Text]
McLean HQ, Fiebelkorn AP, Temte JL, et al. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14;62(RR-04):1-34.[Abstract][Full Text]
UK Health Security Agency. Mumps: the green book, chapter 23. Apr 2013 [internet publication].[Full Text]
Centers for Disease Control and Prevention. Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2024. Nov 2023 [internet publication].[Full Text]
Marin M, Marlow M, Moore KL, et al. Recommendation of the Advisory Committee on Immunization Practices for use of a third dose of mumps virus-containing vaccine in persons at increased risk for mumps during an outbreak. MMWR Morb Mortal Wkly Rep. 2018 Jan 12;67(1):33-8. [Abstract][Full Text]
Centers for Disease Control and Prevention. Recommended adult immunization schedule for ages 19 years or older, United States, 2024. Nov 2023 [internet publication].[Full Text]
1. Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections & diseases - mumps. May 2023 [internet publication].[Full Text]
2. Hviid A, Rubin S, Muhlemann K. Mumps. Lancet. 2008 Mar 15;371(9616):932-44.[Abstract]
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5. Levitt LP, Rich TA, Kinde SW, et al. Central nervous system mumps: a review of 64 cases. Neurology. 1970 Aug;20(8):829-34.[Abstract]
6. Nussinovitch M, Volovitz B, Varsano I. Complications of mumps requiring hospitalization in children. Eur J Pediatr. 1995 Sep;154(9):732-4.[Abstract]
7. Watson JC, Hadler SC, Dykewicz CA, et al. Measles, mumps, and rubella - vaccine use and strategies for elimination of measles, rubella, and congenital rubella syndrome and control of mumps: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 1998 May 22;47(RR-8):1-57.[Abstract][Full Text]
8. Dayan GH, Quinlisk MP, Parker AA, et al. Recent resurgence of mumps in the United States. N Engl J Med. 2008 Apr 10;358(15):1580-9.[Abstract][Full Text]
9. Centers for Disease Control and Prevention. Mumps cases and outbreaks: reported US mumps cases by jurisdiction and year. Jan 2024 [internet publication].[Full Text]
10. Marin M, Quinlisk P, Shimabukuro T, et al. Mumps vaccination coverage and vaccine effectiveness in a large outbreak among college students - Iowa, 2006. Vaccine. 2008 July 4;26(29-30):3601-7.[Abstract]
11. Muhlemann K. The molecular epidemiology of mumps virus. Infect Genet Evol. 2004 Sept;4(3):215-9.[Abstract]
12. Di Pietrantonj C, Rivetti A, Marchione P, et al. Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database Syst Rev. 2021 Nov 22;11:CD004407.[Abstract][Full Text]
13. deBoer AW, deVaan GAM. Mild course of mumps in patients with acute lymphoblastic leukaemia. Eur J Pediatr. 1989 Jun;148(7):618-9.[Abstract]
14. McLean HQ, Fiebelkorn AP, Temte JL, et al. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14;62(RR-04):1-34.[Abstract][Full Text]
15. UK Health Security Agency. Mumps: the green book, chapter 23. Apr 2013 [internet publication].[Full Text]
16. Centers for Disease Control and Prevention. Recommended vaccines for adults. Sep 2023 [internet publication].[Full Text]
17. Peltola H, Kulkarni PS, Kapre SV, et al. Mumps outbreaks in Canada and the United States: time for new thinking on mumps vaccines. Clin Infect Dis. 2007 Aug 15;45(4):459-66.[Abstract][Full Text]
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19. Centers for Disease Control and Prevention. Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2024. Nov 2023 [internet publication].[Full Text]
20. Krow-Lucal E, Marin M, Shepersky L, et al. Measles, mumps, rubella vaccine (PRIORIX): recommendations of the Advisory Committee on Immunization Practices - United States, 2022. MMWR Morb Mortal Wkly Rep. 2022 Nov 18;71(46):1465-70.[Abstract][Full Text]
21. Marin M, Marlow M, Moore KL, et al. Recommendation of the Advisory Committee on Immunization Practices for use of a third dose of mumps virus-containing vaccine in persons at increased risk for mumps during an outbreak. MMWR Morb Mortal Wkly Rep. 2018 Jan 12;67(1):33-8. [Abstract][Full Text]
22. Centers for Disease Control and Prevention. Recommended adult immunization schedule for ages 19 years or older, United States, 2024. Nov 2023 [internet publication].[Full Text]
23. Hambidge SJ, Newcomer SR, Narwaney KJ, et al. Timely versus delayed early childhood vaccination and seizures. Pediatrics. 2014 Jun;133(6):e1492-9.[Abstract][Full Text]
24. Jokinen S, Osterlund P, Julkunen I, et al. Cellular immunity to mumps virus in young adults 21 years after measles-mumps-rubella vaccination. J Infect Dis. 2007 Sep 15;196(6):861-7.[Abstract][Full Text]
25. National Institutes of Health, Centers for Disease Control and Prevention, HIV Medicine Association, and the Infectious Diseases Society of America. Guidelines for the prevention and treatment of opportunistic infections in children with and exposed to HIV: recommended immunization schedule for children with HIV infection aged 0 through 18 years; United States, 2019. Oct 2019 [internet publication].[Full Text]
26. Retraction: Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet. 2010 Feb 6;375(9713):445.[Abstract][Full Text]
27. Hviid A, Hansen JV, Frisch M, et al. Measles, mumps, rubella vaccination and autism: a nationwide cohort study. Ann Intern Med. 2019 Apr 16;170(8):513-20.[Abstract][Full Text]
28. Centers for Disease Control and Prevention. Strategies for the control and investigation of mumps outbreaks. Sep 2023 [internet publication].[Full Text]
29. Centers for Disease Control and Prevention. Manual for the surveillance of vaccine-preventable diseases: chapter 9: mumps. Sep 2023 [internet publication].[Full Text]
30. Gupta RK, Best J, MacMahon E. Mumps and the UK epidemic 2005. BMJ. 2005 May 14;330(7500):1132-5.[Full Text]
31. Krause CH, Molyneaux PJ, Ho-Yen DO, et al. Comparison of mumps-IgM ELISAs in acute infection. J Clin Virol. 2007 Feb;38 (2):153-6.[Abstract]
32. Centers for Disease Control and Prevention. Laboratory testing for mumps infection. Mar 2021 [internet publication].[Full Text]
33. Centers for Disease Control and Prevention. Use of serology to aid in the diagnosis of mumps infection. Nov 2023 [internet publication].[Full Text]
34. Perry KR, Brown DW, Parry JV, et al. Detection of measles, mumps, and rubella antibodies in saliva using antibody capture radioimmunoassay. J Med Virol. 1993 Jul;40(3):235-40.[Abstract]
35. Poggio GP, Rodriguez C, Cisterna D, et al. Nested PCR for rapid detection of mumps virus in cerebrospinal fluid from patients with neurological diseases. J Clin Microbiol. 2000 Jan;38(1):274-8.[Abstract][Full Text]
36. Overman JR. Viremia in humans mumps infections. AMA Arch Intern Med. 1958 Sep;102(3):354-6.[Abstract]
37. Centers for Disease Control and Prevention. Mumps epidemic: Iowa, 2006. MMWR Morb Mortal Wkly Rep. 2006 Apr 7;55(13):366-8.[Abstract][Full Text]
38. Whelan J, van Binnendijk R, Greenland K, et al. Ongoing mumps outbreak in a student population with high vaccination coverage, Netherlands, 2010. Euro Surveill. 2010 Apr 29;15(17):19554.[Abstract]
39. Manson AL. Mumps orchitis. Urology. 1990 Oct;36(4):355-8.[Abstract]
40. Centers for Disease Control and Prevention. Epidemiology and prevention of vaccine-preventable diseases: Mumps. Aug 2021 [internet publication].[Full Text]
41. Centers for Disease Control and Prevention. Mumps- for healthcare providers. Mar 2021 [internet publication].[Full Text]
42. Centers for Disease Control and Prevention. National notifiable diseases surveillance system (NNDSS): mumps 2024 case definition. Feb 2024 [internet publication].[Full Text]
43. Centers for Disease Control and Prevention (CDC). Updated recommendations for isolation of persons with mumps. MMWR Morb Mortal Wkly Rep. 2008 Oct 10;57(40):1103-5.[Abstract][Full Text]
44. UK Health Security Agency. Health protection in schools and other childcare facilities. Oct 2023 [internet publication].[Full Text]
45. Siegel M, Fuerst HT, Peress NS. Comparative fetal mortality in maternal virus diseases. A prospective study on rubella, measles, mumps, chicken pox and hepatitis. N Engl J Med. 1966 Apr 7;274(14):768-71.[Abstract][Full Text]
46. Lane TM, Hines J. The management of mumps orchitis. BJU Int. 2006 Jan;97(1):1-2.[Abstract][Full Text]
47. Vuori M, Lahikainen EA, Peltonen T. Perceptive deafness in connection with mumps: a study of 298 servicemen suffering from mumps. Acta Otolaryngol. 1962 Sep;55:231-6.[Abstract]
48. Everberg G. Deafness following mumps. Acta Otolaryngol.1957 Nov-Dec;48(5-6):397-403.[Abstract]
49. Suskovic T, Vukicevic-Baudoin D, Vucicevic Z, et al. Severe pancreatitis as a first symptom of mumps complicated with pseudocyst and abscess of pancreas. Infection. 1997 Jan;25(1):39-40.[Abstract]
50. Ozkutlu S, Soylemezoglu O, Calikoglu AS, et al. Fatal mumps myocarditis. Jpn Heart J. 1989 Jan;30(1):109-14.[Abstract]
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