Parotitis
A 5-year-old girl has received the mumps vaccination, but why did she still contract the disease? How should she be cared for during the illness, and what should be noted? Thank you.
tori, 30~39 year old female. Ask Date: 2006/12/28
Dr. Ye Dawei reply Otolaryngology
Hello.
The vaccine is for the prevention of viral mumps.
If one contracts the disease again, it may be due to other causes, such as a bacterial infection.
If it is a bacterial infection, antibiotics can be used for treatment.
Reply Date: 2006/12/28
More Info
Mumps, also known as parotitis, is a viral infection that primarily affects the salivary glands, particularly the parotid glands located near the jaw. Although vaccination with the MMR (measles, mumps, rubella) vaccine significantly reduces the risk of contracting mumps, it is still possible for vaccinated individuals to become infected, albeit usually with milder symptoms.
Understanding Mumps in Vaccinated Children
1. Vaccine Efficacy: The MMR vaccine is highly effective, but no vaccine offers 100% protection. Studies show that while vaccinated individuals can still contract mumps, the severity of the disease is typically less than in unvaccinated individuals. This means that your daughter may experience milder symptoms due to her vaccination.
2. Symptoms of Mumps: Common symptoms include swelling of the salivary glands (especially the parotid glands), fever, headache, muscle aches, fatigue, and loss of appetite. The swelling can cause discomfort and may last for several days.
Care Tips During Infection
1. Hydration: Ensure your child stays well-hydrated. Encourage her to drink plenty of fluids, such as water, clear broths, or electrolyte solutions. Staying hydrated is crucial, especially if she has a fever.
2. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate pain and reduce fever. Always follow the dosage instructions based on her age and weight, and consult with your pediatrician if you have any concerns.
3. Rest: Encourage your child to rest as much as possible. Adequate sleep and rest will help her body recover more quickly from the infection.
4. Soft Diet: Since mumps can cause discomfort while chewing, offer her soft foods that are easy to swallow, such as yogurt, applesauce, mashed potatoes, and smoothies. Avoid acidic foods and drinks, as they may irritate the swollen glands.
5. Isolation: Mumps is contagious, so it’s important to keep your child at home to prevent spreading the virus to others. The contagious period typically starts a few days before the swelling appears and lasts until about five days after the swelling begins.
6. Monitor Symptoms: Keep an eye on her symptoms. If she develops severe headaches, persistent high fever, difficulty swallowing, or any signs of complications (such as orchitis in boys or meningitis), contact your healthcare provider immediately.
When to Seek Medical Attention
While most cases of mumps resolve without complications, it’s important to be aware of potential complications, which can include:
- Orchitis: Inflammation of the testicles in boys, which can lead to fertility issues later in life.
- Oophoritis: Inflammation of the ovaries in girls.
- Meningitis: Infection of the protective membranes covering the brain and spinal cord.
- Encephalitis: Inflammation of the brain, which is rare but serious.
If your daughter exhibits any concerning symptoms or if her condition worsens, do not hesitate to seek medical advice.
Conclusion
In summary, while it can be concerning for a vaccinated child to contract mumps, the symptoms are generally milder, and with proper care, she should recover well. Focus on hydration, pain management, and rest, while monitoring her symptoms closely. If you have any doubts or if her condition changes, consulting with her pediatrician is always the best course of action.
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