MMP, Mumps: Difference between revisions

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=== Nervous system ===
{| class="wikitable"
|+
!Entities
!
!
!
|-
|Cranial nerves


==== Cranial nerves ====
*[[Optic neuritis]]
* [[Optic neuritis]]
* [[Face palsy|Face Palsy]] (CN-5)
* [[Face palsy|Face Palsy]] (CN-5)
* Deafness (CN-8): Unilateral, transient high-frequency
* Deafness (CN-8): Unilateral, transient high-frequency
* Difficult pronunciation. Swelling of tongue
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|
|
|-
|[[Cerebellar ataxia]]:
|
* Vertigo,
* [[Opsoclonus Myoclonus syndrome|Opsoclonus-Myoclonus Syndrome]] <ref>J Clin Neurol 2014;10(3):272-275
 
Opsoclonus-Myoclonus Syndrome Associated with Mumps Virus Infection Bong-Hui Kang,a Jae-Il Kima,b</ref>
* [[Dysarthria]]
|
|
|-
|[[Brainstem encephalitis entities|Brainstem encephalitis]] <ref>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.</ref>, <ref>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.</ref>, <ref>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.</ref>
|
|
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|-
|[[Meningitis]]; aseptic
|
* Headache
* Pressing pain
* Neck Rigidity
|
|
|-
|[[Encephalitis]]:
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* [[Seizure]]
* Altered consciousness
* Aphasia
* Sleeplessness
* Extremities ballismus-like Involuntary movements <ref>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.</ref>
|
|
|-
|Poliomyelitis-like syndrome,
|Ext Paresis
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|
|-
|[[Transverse myelitis]]
|Ascending polyradiculitis
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|
|-
|
|[[Trismus]]Difficult mastication
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|-
|[[Glossitis|Glositis]]
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* 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]]
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|
|
|-
|[[Pancreatitis]]
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|
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|-
|Juvenile [[Type 1 DM|Diabetes mellitus]]
|
|
|
|-
|[[Oophoritis]]
|[[Premature ovarian insufficiency|Premature menopause]]. [[Infertility remedies|Infertility]]
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|
|-
|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 ====
==== CNS ====
* [[Cerebellar ataxia]]: Vertigo, [[Opsoclonus Myoclonus syndrome entities|Opsoclonus-Myoclonus Syndrome]] <ref>J Clin Neurol 2014;10(3):272-275
Opsoclonus-Myoclonus Syndrome Associated with Mumps Virus Infection Bong-Hui Kang,a Jae-Il Kima,b</ref>, [[Dysarthria]]
* [[Brainstem encephalitis entities|Brainstem encephalitis]] <ref>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.</ref>, <ref>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.</ref>, <ref>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.</ref>
* CSF; Pleocytosis, Hypoglycorrhachia (An abnormally low glucose concentration within CSF)
* CSF; Pleocytosis, Hypoglycorrhachia (An abnormally low glucose concentration within CSF)
* [[Meningitis]]; aseptic: Headache. Pressing pain. Neck Rigidity
* [[Encephalitis]]: [[Seizure]], Altered consciousness, Aphasia, Sleeplessness, Extremities ballismus-like Involuntary movements <ref>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.</ref>


* Hydrocephalus, Congenital malformations
* Hydrocephalus, Congenital malformations




==== PNS ====
* [[Transverse myelitis miasms|Transverse myelitis]], Ascending polyradiculitis
* Poliomyelitis-like syndrome, Ext Paresis


* [[Trismus]], Difficult mastication
*
 
 
=== Endocrinopathy ===
* [[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 [[Type 1 DM|Diabetes mellitus]]
* [[Oophoritis]]: [[Premature ovarian insufficiency|Premature menopause]]. [[Infertility remedies|Infertility]]
* Epididymitis, [[Orchitis]]: Sterility. Atrophy of testis. Erythema / Warmth/ Pain / Tenderness / Swelling / Testicular malignancy.
* [[Prostatitis]]
* [[Mastitis]]: Presternal pitting edema


=== Others ===
=== Others ===
* 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]]
*


* Death of fetus.  
* Death of fetus.  
Line 74: Line 205:
* [[GBS, Guillian Barre syndrome|Guillain-Barre syndrome]].
* [[GBS, Guillian Barre syndrome|Guillain-Barre syndrome]].


=== Remedies ===
== Remedies ==
{| class="wikitable"
|+
! colspan="2" |
=== [[Banerji protocols]] ===
|-
|First line
|
* Merc-v C200 + Bell C30 one dose every 3 hours
* Puls C30 BD in [[Orchitis|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 ===
#
#
#[[Con, Conium Maculatum|CON]], [[Merc, Mercurius Solubilis|MERC]], [[Puls, Pulsatilla pratensis|PULS]]
#[[Con, Conium Maculatum|CON]], [[Merc, Mercurius Solubilis|MERC]], [[Puls, Pulsatilla pratensis|PULS]]

Latest revision as of 06:59, 25 November 2023

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

  2. CON, MERC, PULS
  3. Phyt, Bell
  4. 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.
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