| CASE REPORT |
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| Year : 2020 | Volume
: 9
| Issue : 2 | Page : 227-229 |
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A case of mumps presenting as severe pneumonia with acute respiratory distress syndrome
Neeraj Sharma1, Aditya Joshi2, M Krishna Kumar2, Neelabh Nayan3
1 Department of Respiratory Medicine, Command Hospital, Kolkata, West Bengal, India
2 Department of Anaesthesiology and Critical Care, Command Hospital, Kolkata, West Bengal, India
3 Department of Internal Medicine, Command Hospital, Kolkata, West Bengal, India
Correspondence Address:
Dr. Neeraj Sharma
Department of Respiratory Medicine, Command Hospital, Eastern Command, Alipore, Near Visa House, Kolkata - 700 027, West Bengal
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijrc.ijrc_51_19
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The mumps virus causes an acute viral syndrome which is generally a self-limiting condition. It primarily affects the children. The majority of cases present with parotid swelling which is usually followed by complete recovery. Symptomatic infection is typically more severe in adults than in children. Encephalitis, meningitis, and orchitis are the most common serious complications of mumps. Pneumonia is an extremely rare and unusual complication of mumps. In this case report, the patient was an adult who presented with a short history of fever, unilateral parotid swelling, cough, and worsening breathlessness. On evaluation, he was diagnosed as a case of mumps complicated with severe pneumonia. The patient later developed a severe acute respiratory distress syndrome, which was managed successfully by prone ventilation, recruitment maneuvers, lung-protective ventilation (high positive end-expiratory pressure and low tidal volume), and other supportive measures.
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