MMP, Mumps

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MMP in brief

  • Burning / Stitching pain
  • Arthralgia. Low birth weight.
  • Lethargy, Psychomotor retardation, Anorexia, Malaise
  • Evening agg
  • Chilly / Fever; low-grade / high-grade
  • Main regions: Parotid gland, Testis, Ovaries, Abdomen


Entities
Cranial nerves
Cerebellar ataxia:
Brainstem encephalitis [2], [3], [4]
Meningitis; aseptic
  • Headache
  • Pressing pain
  • Neck Rigidity
Encephalitis:
  • Seizure
  • Altered consciousness
  • Aphasia
  • Sleeplessness
  • Extremities ballismus-like Involuntary movements [5]
Poliomyelitis-like syndrome, Ext Paresis
Transverse myelitis Ascending polyradiculitis
TrismusDifficult mastication
Glositis
  • Difficult pronunciation
  • Swelling of tongue
Parotitis
  • Unilateral Face Pain/ tenderness /Swelling
  • Agg with citrus fruits
  • Ear Pain
Sialadenitis Edematous / Erythematous Orifice of Stensen's duct, Recurrent. Sialectasia
Thyroiditis
Pancreatitis
Juvenile Diabetes mellitus
Oophoritis Premature menopause. Infertility
Epididymitis, Orchitis
  • Sterility. Atrophy of testis.
  • Erythema / Warmth/ Pain / Tenderness / Swelling
  • Testicular malignancy
Prostatitis
Mastitis Presternal pitting edema
Lymphadenopathy: / Sublingual, Submandibular, Neck
Thrombocytopenia
Eye Inflammation, Dim Vision Lachrymation
Hepatitis:
  • Upper abdominal discomfort.
  • Pain; lower abdominal, epigastrial
  • Epigastrial tenderness
Myocarditis Endocardial fibroelastosis
Arthritis
  • Monoarticular
  • Migratory polyarthritis
Nephritis

CNS

  • CSF; Pleocytosis, Hypoglycorrhachia (An abnormally low glucose concentration within CSF)
  • Hydrocephalus, Congenital malformations


Others

  • .
  • Death of fetus.  
  • Throat Dryness, Coryza. Catarrh.Epistaxis
  • Eructations. Nausea. Vomiting
  • Night Cough
  • Coldness of foot

Related disease / Entities

Remedies

Banerji protocols

First line
  • Merc-v C200 + Bell C30 one dose every 3 hours
  • Puls C30 BD in testicular pain. In this situation Merc-v C200 + Bell C30 should be continues every 3 hours
Second line
  • Hep C6 + Bell C30 one dose every 2 hours alternately
Third line
  • Thuj C30 + Bell C30 one dose every 3 hours alternately.

Miasmatic Remedies

  1. CON, MERC, PULS
  2. Phyt, Bell
  3. Iod, Bar-c, Sil, Aur


Tissue Salt Remedies

KM: The main remedy

NM: Mumps with severe sialorrhea

FP: Mumps with high fever

  1. J Clin Neurol 2014;10(3):272-275 Opsoclonus-Myoclonus Syndrome Associated with Mumps Virus Infection Bong-Hui Kang,a Jae-Il Kima,b
  2. Chee YC, Ong BH. Mumps encephalitis with bilateral hippocampal lesions preceding parotitis. Neurol Clin Pract. 2019 Dec;9(6):475-477. doi: 10.1212/CPJ.0000000000000665. PMID: 32042482; PMCID: PMC6927431.
  3. Koyama S, Morita K, Yamaguchi S, Fujikane T, Sasaki N, Aizawa H, Kikuchi K. An adult case of mumps brainstem encephalitis. Intern Med. 2000 Jun;39(6):499-502. doi: 10.2169/internalmedicine.39.499. PMID: 10852173.
  4. Sonmez FM, Odemis E, Ahmetoglu A, Ayvaz A. Brainstem encephalitis and acute disseminated encephalomyelitis following mumps. Pediatr Neurol. 2004 Feb;30(2):132-4. doi: 10.1016/j.pediatrneurol.2003.09.004. PMID: 14984908.
  5. Hoshino M, Sasaki R, Tsuchihashi Y, Otsuka Y, Sakurai K, Yamano Y. A case of autoimmune encephalitis with involuntary movements as the first symptom and suspected association with mumps virus infection. Rinsho Shinkeigaku. 2022 Feb 19;62(2):140-144. doi: 10.5692/clinicalneurol.cn-001669. Epub 2022 Jan 31. PMID: 35095050.