Complications of parotitis
Parotitis can cause serious complications. In most cases, with timely treatment of mumps and a competent approach to the therapy of the disease, the inflammatory process is limited to salivary glands and does not spread to other organs, but nevertheless the risk of complications in parotitis remains high enough, especially if the disease is in severe form.
Complications of mumps from the endocrine glands
In addition to the salivary glands, the inflammatory process can affect some other glands: pancreas, prostate, female gonads sores, lacrimal glands, thyroid gland, etc.
Inflammation of the pancreas is accompanied by pain in the abdomen and vomiting. The pain is localized in the left upper abdomen. The consequence of this inflammation can be juvenile diabetes.
Pancreatitis as a complication of mumps is seen in 50% of patients. Most often the inflammatory process in the pancreas and in the salivary glands starts simultaneously, sometimes the complication of the disease develops in the first week, very rarely in the second week. Symptoms of mumps in this case include nausea, vomiting, hiccough, stool (constipation, less often diarrhea). In children under two years of age, the stool becomes liquid, it can detect particles of food that has not been digested until the end, white lumps. The patient’s tongue is dry and covered with bloom. In severe cases, there is a rapid pulse, a drop in blood pressure, and there may be a collapse.
Orchitis after mumps occurs in men in 68% of cases, among orchitis, 2% of boys fall ill among preschool children. In adolescents, orchites are more common than in children up to 10-11 years of age. Orchitis begins acutely from the third to the 10th day of the disease with mumps, but it can begin later, from 14 to 19 days and even after two or more weeks. With epidemic parotitis, inflammation of the spermatic gland often develops on one side, in most cases with the right one.
In adolescents and adult men, prostatitis (inflammation of the prostate gland) may develop, accompanied by pain in the crotch that increases during urination or stool. Diagnosis of the disease can be done by palpation, having palpated an enlarged amount of iron through the rectum.
Teenage girls can have oophoritis (inflammation of the female gonads). The disease begins acutely and is accompanied by a sharp pain and fever. After 5-7 days the inflammation quickly passes, the prognosis is favorable in most cases.
Mastitis as a complication of mumps can occur in both women and men. The disease is accompanied by high fever, tenderness of the mammary glands, and their densification. Inflammation occurs after several days and is not accompanied by a purulent discharge.
Very rare complication of mumps is thyroid inflammation – thyroiditis. The disease is characterized by high fever, soreness of the cervical region, increased sweating, exophthalmos.
Parotitis can cause inflammation in the lacrimal gland (dacryoadenitis). The disease is accompanied by severe pain in the eye area, edema of the eyelids. The complication of mumps from the internal organs and the CNS.
The inflammatory process can affect some internal organs: liver, spleen, hearing and vision organs, as well as joints.
In the typical course of mumps, complications from the central nervous system may occur. So, until the sixth day of the disease there are symptoms of serous meningitis, with which the manifestation of mumps can be limited. More often the inflammation of the meninges occurs in children of three to nine years.
In rare cases, after mumps, meningoencephalitis occurs. It can begin in children under the age of six, often after the first week of illness. In this case, cranial nerves, cerebellum, pyramidal and vestibular systems are affected.