Overview

Mumps is a viral infection that primarily affects the parotid glands — one of three pairs of saliva-producing (salivary) glands, situated below and in front of your ears. If you or your child contracts mumps, it can cause swelling in one or both parotid glands.

Mumps was common in the United States until mumps vaccination became routine. Since then, the number of cases has dropped dramatically, so your odds of getting mumps are low. Complications of mumps, such as hearing loss, are potentially serious, but rare.

There's no specific treatment for mumps. Mumps outbreaks still occur in the United States, and mumps is still common in many parts of the world, so getting a vaccination to prevent mumps remains important.

Symptoms

Some people infected with the mumps virus have either no signs or symptoms or very mild ones. When signs and symptoms do develop, they usually appear about two to three weeks after exposure to the virus and may include:

  • Swollen, painful salivary glands on one or both sides of your face (parotitis)
  • Fever
  • Headache
  • Muscle aches
  • Weakness and fatigue
  • Loss of appetite
  • Pain while chewing or swallowing

The primary — and best known — sign of mumps is swollen salivary glands that cause the cheeks to puff out. In fact, the term "mumps" is an old expression for lumps or bumps within the cheeks.

When to see a doctor

If you suspect that you or your child has mumps, see your doctor. Let your doctor's office know before you go in that you suspect mumps so that you won't have to wait so long in the waiting room, possibly infecting others. Mumps has become an uncommon illness, so it's possible that the signs and symptoms are caused by another condition. Swollen salivary glands and a fever could be an indication of inflamed tonsils (tonsillitis) or a blocked salivary gland.

Other viruses can infect the parotid glands, causing a mumps-like illness.

Causes

The cause of mumps is the mumps virus, which spreads easily from person to person through infected saliva. If you're not immune, you can contract mumps by breathing in saliva droplets of an infected person who has just sneezed or coughed. You can also contract mumps from sharing utensils or cups with someone who has mumps.

Complications

Complications of mumps are potentially serious, but rare.

Inflammation

Most mumps complications involve inflammation and swelling in some part of the body, such as:

  • Testicles. This condition, known as orchitis, causes one or both testicles to swell in males who've reached puberty. Orchitis is painful, but it rarely leads to sterility — the inability to father a child.
  • Pancreas. The signs and symptoms of this condition, known as pancreatitis, include pain in the upper abdomen, nausea and vomiting.
  • Ovaries and breasts. Females who've reached puberty may have inflammation in the ovaries (oophoritis) or breasts (mastitis). Fertility is rarely affected.
  • Brain. A viral infection, such as mumps, can lead to inflammation of the brain (encephalitis). Encephalitis can lead to neurological problems and become life-threatening.
  • Membranes and fluid around the brain and spinal cord. This condition, known as meningitis, can occur if the mumps virus spreads through your bloodstream to infect your central nervous system.

Other complications

  • Hearing loss. In rare cases, mumps can cause hearing loss, usually permanent, in one or both ears.
  • Miscarriage. Although it isn't proved, contracting mumps while you're pregnant, especially early on, may lead to miscarriage.

Prevention

In general, you're considered immune to mumps if you've 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, which contains the safest and most effective form of each vaccine. 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 Midwest, 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. Since the recommendation for a second dose didn't begin until the late 1980s or early 1990s, many young adults may not have received their second dose and should have one now.

Those who don't need the MMR vaccine

You don't need a vaccine if you:

  • 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
  • Had one dose of MMR and you're not at high risk of measles or mumps exposure
  • Have blood tests that demonstrate you're immune to measles, mumps and rubella
  • Are a man who was born before 1957
  • Are a woman who was born before 1957 and you don't plan to have any more children

Also, the vaccine isn't recommended for:

  • Pregnant women or women who plan to get pregnant within the next four weeks
  • People who have had a life-threatening allergic reaction to gelatin or the antibiotic neomycin
  • People with severely compromised immune systems, or people who take oral steroids, unless the benefits of the vaccine exceed the risks

Those who should get the MMR vaccine

If you don't fit the criteria listed above for not getting vaccinated, you should be vaccinated if you:

  • Are a nonpregnant woman of childbearing age
  • Attend college, trade school or postsecondary school
  • Work in a hospital, medical facility, child care center or school
  • Plan to travel overseas or take a cruise

Those who should wait to get the MMR vaccine

Consider waiting if:

  • You're moderately or severely ill. Wait until you recover.
  • You're pregnant. Wait until after you give birth.

Those who should check with their doctors

Check with your doctor before getting vaccinated for mumps if:

  • You have cancer
  • You have a blood disorder
  • You have a disease that affects your immune system, such as HIV/AIDS
  • You're being treated with drugs, such as steroids, that affect your immune system
  • You've received another vaccine within the past four weeks

Side effects of the vaccine

You can't get mumps from the MMR vaccine, and most people experience no side effects from the vaccine. A few may experience a mild fever or rash, and some people (mostly adults) have achy joints afterward for a short time. Less than one out of 1 million doses causes a serious allergic reaction.

Although concerns have been raised about a connection between the MMR vaccine and autism, extensive reports from the American Academy of Pediatrics, the Institute of Medicine and the Centers for Disease Control and Prevention conclude that there's no scientifically proven link between the MMR vaccine and autism.

Aug. 12, 2015
References
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