parotitis 6

Complications

Viremia in early infection may be a complication knowledgeable.

Meningo encephalitis
Complications is a complication that often the children. The incidence meningoensefalitis parotitis cases around 250/100.000; 10% of these cases occurred in patients who are older than 20 years. Figures mortality is around 2%. Men exposed to three to five times more often than women. Parotitis is the one-one cause of aseptic meningitis that most often.
Can occur before, after or without swollen gland parotis. Patients initially showed symptoms of mild headache pain, which is then followed by vomiting, anxiety and a high body temperature (hiperpireksia). Estimated that the parotitis can cause stenosis and aqueducts result hidrosefalus on children. Pungsi lumbal examination shows that escalate pressure, and the examination None Pandy positive, the number of cells increased, especially limfosit, escalate protein content, glucose and klorida normal. Fifty percent of patients parotitis showed pleiositosis on liquids serebrospinal and 50% of individuals show such interference neurologist. Pungsi lumbal can also reduce the pain of head.
Pathogenesis meningoensefalitis parotitis has been described as:
(1) infection of primary neuron and
(2) post-infection with encephalitis demielinasi.
In the first type parotitis often appear together or attached to the encephalitis. In the second type, encephalitis accompanies parotitis in about 10 days. Stenosis Aqueducts and hydrocephalus has been linked with infection parotitis.
Meningoensefalitis parotitis is clinically can not be distinguished from others because meningitis. There was a medium neck stiffness, but the other neurologist examination usually normal. Serebrospinal fluid (CSS) usually contain less than 500 cells sel/mm3, although sometimes the number of cells can exceed 2000. Sel almost always limfosit, with different antivirus aseptic meningitis, which often dominate leukosit polimorfonuklear early in the disease. Parotitis virus can isolated of liquid serebrospinal.
Treatment as in the other encephalitis. Usually prognosis meningo-encephalitis parotitis epidemika is good; there are rarely symptoms of the remaining neurologist or equipment damage hearing. However, 10-20% of cases, but complications showed interference awareness and convulsions. Sequele that can occur as acute ataxia serebelar, Transverse myelitis, temporary paralysis, Guillain-Barre syndrome, coma, diabetes insipidus, neuritis optics, deaf sensoneural (and most often occur suddenly) .

Epididimo Orkitis
This rare complication occurred in boys but pubertas frequently (14-35%) in adolescents and adults. Occurred in 10 patients 20% and adolescent post pubertas. Can arise in the first week. Patients show a high body temperature, sometimes shivering, and painful swollen press in the right or the left testis. This lasted for 4 - 7 days.
Treatment with a cold compress and alternatif testis. Testis most often infected with or without epididimitis; can also occur epididimitis only. Hidrokel rare. Orkitis usually accompany parotitis in 8 days or surrounding areas; orkitis can also occur without evidence of salivary gland infection. At about 30% of the affected testis. Often start suddenly, with the increase in temperature, shivering, head aches, nausea, stomach aches and down when exposed to the right testis, appendisitis can like as a possible diagnosis. Testis to be exposed to pain and swelling, skin edema and near red. The average length is 4 day's.
Approximately 30-40% of affected testis will become atrofi. Ten to 50% of cases will be sterile. Infertility total rare, but changes may be obtained fertility's. Interference fertility is estimated about 13%, but rarely infertility's absolute happen.

Pankreatitis
Heavy involvement of the pancreas rarely occur. Pankreatitis light and asymptomatic there may be more often than we think (up to 40% of cases), occurred at the end of the week I.
Pankreatitis may not be related to the manifestation of salivary gland, and the diagnosis may be mistaken with Gastroenteritis. Epigastrium pain and illness, can also be accompanied fever, shivering, nausea, and weak. Diagnosis is based on lipase and alpha amilase increased. Level up amilase serum is typically in the parotitis, with or without clinical manifestation pankreatitis.
Other complications that are rare ooporitis, arthritis, nefritis, mastitis, aberration in the eyes of others dakriodenitis, and tiroiditis and miokarditis.

Ooforitis
Pelvis pain and tenderness found in about 7% of women in post-pubertas. There is no evidence of interference fertilitas.

Nefritis
Frequency of renal involvement in children has not been known. Nefritis the death, occurred 10-14 days after parotitis.

Tiroiditis
Although not common in children, swollen tiroid the difus painful and can occur in about 1 week after the start parotitis with the development of next antitiroid.

Miokarditis
Manifestation of a serious heart very rare, but infection may be mild miokardium more frequently than is known. Elektrokaardiografi recordings show the changes, most of the ST segment depression, at 13% of adults in one series. Such involvement can explain the pain prekordium, bradikardia, fatigue and sometimes found in teenagers and adults with parotitis.


Mastitis
Complications are not common to each type of sex.

Suffer from deafness
Hearing nerve can occur unilateral, rarely bilateral, although the insiden low (1; 15,000), parotitis is a major cause of unilateral hearing nerve. Hearing loss may be temporary or permanent.

Complications Okuler
Complications include dakriodenitis, swollen the pain, usually bilateral, of the gland lakrimalis; optic neuritis (papillitis) with symptoms of vision loss varies from opaque to light with healing in 10-20 days; uveokreatitis, usually unilateral with fotofobia, tear out , loss of vision and rapid healing in 20 days; Skleritis, tendonitis, with the result eksoftalmus; trombosis vena sentral.

Artritis
Artralgia the swollen accompanied with redness and joint complications are rare, usually it perfect.

Purpura Trombositopeni
The sign is get not often.

Embriopati Parotitis
There is no strong evidence that maternal infection infected fetus; possible relationship endokardial fibroelastosis not portrait. Parotitis in early pregnancy increase the chance abortus.