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Unusual presentation of more common disease/injury
CASE REPORT
Mumps presenting with unilateral, synchronous parotid and submandibular gland swelling
  1. Connor Boyle1,2,
  2. Panagiotis Asimakopoulos2,
  3. Elham Khatamzas3,
  4. Guy Vernham2
  1. 1Division of Health Sciences, University of Edinburgh, Edinburgh, UK
  2. 2Department of Otolaryngology, NHS Lothian, Edinburgh, UK
  3. 3Regional Infectious Diseases Unit, NHS Lothian, Edinburgh, UK
  1. Correspondence to Dr Connor Boyle, connorboyle{at}doctors.org.uk, connorboyle{at}nhs.net

Summary

A previously healthy 22-year-old woman presented with acute, unilateral facial and neck swelling, associated with fever and malaise. She was initially treated with intravenous antibiotics; however, CT imaging showed unilateral, synchronous swelling and inflammation of the parotid and submandibular glands, and a PCR swab from the parotid duct was positive for mumps. She was fully immunised and had no contact in the preceding period with anyone diagnosed with mumps. She responded to supportive management and her symptoms resolved over the course of her admission. Unilateral, synchronous swelling and severe inflammation of both the parotid and submandibular glands in mumps is a very unusual presentation, and not one previously reported in the literature.

  • otolaryngology / ENT
  • ear, nose and throat/otolaryngology

https://doi.org/10.1136/bcr-2018-226547

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    Footnotes

    • Contributors CB, PA, EK and GV: involved in the clinical management of the patient. PA: identified the case as worth sharing. CB and PA: involved in the conception of the article and literature search. CB: was responsible for the drafting of the article, with all authors responsible for the subsequent revision of the article and approval of the submitted draft.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.