Nelson Textbook of Pediatrics 22nd Edition | Caused by paramyxovirus. Clinical: parotitis (unilateral or bilateral, swelling obscures angle of jaw), fever, headache, myalgia. Complications: orchitis (postpubertal males, 30-40%, rarely sterility), oophoritis, pancreatitis, aseptic meningitis (10-30%), encephalitis, sensorineural hearing loss (rare). Diagnosis: clinical, PCR (buccal swab), serology (IgM). Treatment: supportive (analgesics, scrotal support for orchitis). Prevention: MMR vaccine (2 doses). Isolation: 5 days after parotitis onset.
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