Mumps should be included in the differential diagnosis of a comatose patient, particularly when mumps is prevalent in the community. Mumps encephalitis sometimes occurs with normal CSF cell count and protein content.
Some exanthems associated with mumps may represent dual infections. That mumps virus alone may produce a rash is suggested by a report cited and by one patient in this series.
Get full access to this article
View all access options for this article.
References
1.
Utz, J.P., Szwed, C.F. and Kasel, J.A.: Clinical and laboratory studies of mumps. II. Detection and duration of excretion of virus in urine. Proc. Soc. Exp. Biol. Med.99: 259, 1958.
2.
Lennette, E. H. and Schmimdt, N. J., Eds.: Diagnostic Procedures for Viral and Rickettsial Infections, 4th ed. New York, American Public Health Association, 1969.
3.
Utz, J.P., Kasel, J.A., Cramblett, H.G., Szwed, C.F. and Parrott, R.H.: Clinical and laboratory studies of mumps. I. Laboratory diagnosis by tissue-culture technics. New Eng. J. Med.257: -197, 1957.
4.
Henle, G., Harris, S. and Henle, W.: The reactivity of various human sera with mumps complement fixation antigens . J. Exp. Med.88: 133, 1948.
Scheid, W.: Mumps virus and the central nervous system. World Neurology2: 117, 1961.
7.
Bang, H.O. and Bang, J.: Involvement of the central nervous system in mumps. Acta Med. Scand.113: 487. 1943.
8.
Strussberg, S., Winter, S., Friedman, A., Benderly, A., Kahana, D. and Freundlich E.: Notes on mumps meningoencephalitis. Some features of 199 cases in children. Clin. Pediat. 8: 373, 1969.
9.
Bloch, H., Hirschl, D., Turin, R. and Zaleznak, B.: Masked mumps encephalitis complicated by hemiplegia. Amer. J. Dis. Child.79: 324, 1950.
10.
Mednick, J.P. and Leonards, R.: An unusual central nervous system complication of mumps. Calif. Med.101: 42, 1964.
Kravis, L.P. , Sigel, M.M. and Henle, G.: Mumps meningoencephalitis with special reference to the use of the complement-fixation test in diagnosis. Pediatrics8: 204, 1951.
15.
Mendelsberg, S.B.: Fulminating mumps meningoencephalitis with recovery. J. Pediat.39: 87, 1951.
16.
Wilfert, C.M. : Mumps meningoencephalitis with low CSF glucose, prolonged pleocytosis and elevation of protein. New Eng. J. Med.280: 855, 1969.
17.
Levine, B.B. and Zolov, D.M.: Prediction of penicillin allergy by immunological tests. J. Allergy43: 231, 1969.
18.
Cherry, J.D. and Jahn, C.L.: Exanthem and enanthem associated with mumps virus infection. Arch. Environ. Health12: 518, 1966.
