Parotite epidemica virus
Come nel caso di morbillo, rosolia e varicella, la parotite si trasmette soltanto da persona a persona. Inoltre, un terzo dei bambini infettati non manifesta i sintomi. Si associano febbre e malessere. Circa 24 ore prima della comparsa del rigonfiamento delle parotidi, possono presentarsi brividi, cefalea e un leggero rialzo termico. Cardiac involvement has been considered rare and when observed has been described as either acute pericarditis or acute endocarditis. That the virus of mumps may also produce myocarditis was originally suspected by Pujol 1 and by Barbato 2 from their clinical observations, but no satisfactory evidence to support their contention was presented.
Later, Manca 3 reported the histologic changes in an instance of acute interstitial fibrinous myocarditis which occurred in a fatal case of mumps. He regarded this as a characteristic reaction to the mumps virus. In January , I had the unique opportunity of observing an instance of complete heart block in a patient convalescing from epidemic parotitis.
From the electrocardiographic. Arch Intern Med Chic. Coronavirus Resource Center. Our website uses cookies to enhance your experience. Pus, aspirated from a suppurative parotic abscess, should be plated on media that are supportive for the growth of aerobic and anaerobic bacteria, mycobacteria, and fungi.
Early and proper antimicrobial therapy may prevent suppuration. Initial empiric therapy that is directed against both aerobic and anaerobic bacteria may be required until a specific causal diagnosis is available. Surgical drainage may be indicated when pus has formed.
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