Clinical profile of mumps in children in a tertiary care hospital in Kashmir


  • Ummer M. Bhat Department of Pediatrics, Government Medical College Srinagar, Jammu and Kashmir, India
  • Naseer Yousuf Mir Department of Pediatrics, Government Medical College Srinagar, Jammu and Kashmir, India
  • Wamiq Farooq Department of Pediatrics, Government Medical College Srinagar, Jammu and Kashmir, India
  • Bashir U. Zaman Department of Pediatrics, Government Medical College Srinagar, Jammu and Kashmir, India
  • Mohammad Imran Malik Department of Pediatrics, Government Medical College Srinagar, Jammu and Kashmir, India



Socioeconomic, Salivary glands, Immunization


Background Mumps is one of the oldest human illnesses known to humans. Mumps is caused by a paramyxovirus, which is a single-strand RNA virus. Mumps is characterized by painful, unilateral, or bilateral swelling of the salivary glands, in particular, the parotid glands.

Methods: This is a hospital-based prospective observational study. All children of age ≤18 years, both males and females with acute onset of unilateral or bilateral tender, self-limited swelling of the parotid or other salivary gland without other apparent cause.

Results: Of the 150 clinically diagnosed mumps cases, 87 (58%) were male and 63 (42%) were female (male-to-female ratio of 1.4:1). There was no case below 1 year but there were 40 cases between 1 and 5 years. The 40% belonged to the lower middle class of socioeconomic status as per Kuppuswamy’s scale, followed by the upper-middle and lower-middle class. Only 15 patients (10%) were completely immunized whereas the immunization status of 8% patients was not known, and the rest of the patients were non immunized (82%). Fever was the most common presentation (150 patients;100%), followed by parotid involvement. Parotitis was present in 146 (97.3%) cases at some point during the illness, 36 patients (24%) had unilateral and 110 patients (73.3%) had bilateral involvement. 16% of patients had multiple salivary gland involvement. Mean duration of illness was 9.0±2 days.

Conclusions: Mumps is a significant public health problem to warrant investment in prevention through vaccination.


Rubin S, Kennedy R, Poland G. Emerging mumps infection. Pediatr Infect Dis J. 2016;35(7):799-801.

Tyor W, Harrison T. Chapter 28: Mumps and rubella. Handbook Clin Neurol. 2014;123:591-600.

Centers for Disease Control and Prevention. Mumps cases and outbreaks. 2017. Available at: Accessed on March 24, 2017.

McLean HQ, Fibelkorn AP, Temte JE, Wallas GS. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). Center for Disease Control and Prevention Recommendations and Reports. 2013;62(RR04):1-34.

Caserta MT. 2014. Mumps (epidemic parotitis). Merck Manual Professional Version. Available at: mumps#v102306. Accessed on March 6, 2022.

Reichmann ME. Animal virus. Access Science. 2014.

Fiebelkorn A, Barskey A, Hickman C, Bellini W. Chapter 9: Mumps. VPD Surveillanc Manual, 5th ed. 2012.

Vaccines. Available at: vaccines/pubs/surv-manual/chpt09-mumps.pdf. Accessed on March 14, 2022.

Office of Disease Prevention and Health Promotion. IID-1.5 Reduce cases of mumps (U.S.-acquired cases). 2017.

The Healthy People 2020. Available at: 15-0. Accessed on March 14, 2022.

Latner DR, Hickman CJ. Remembering mumps: E1004791. PLoS Pathogens. 2015;11(5).

Rubin S, Eckhaus M, Rennick L, Bamford C, Duprex W. Molecular biology, pathogenesis and pathology of mumps virus. J Pathol. 2015;235:242-52.

World Health Organization. Mumps virus nomenclature update: 2012. Available at: http:// Accessed on March 14, 2022.

Centers for Disease Control and Prevention. Mumps: For healthcare providers, 2016. Available at: Accessed on January 5, 2023.

Van Panhuis W, Grefenstette J, Jung S. Contagious diseases in the United States from 1888 to the present. New Engl J Med. 2013;369(22):2152-8.

Zamir C, Schroeder H, Shoob H, Abramson N, Zentner G. Characteristics of a large mumps outbreak: clinical severity, complications and association with vaccination status of mumps outbreak cases. Hum Vaccin Immunother. 2015;11(6):1413-7.

Fiebelkorn A, Coleman L, Belongia E. Measles and mumps antibody response in young adults after a third dose of measles- mumps-rubella vaccine. Open Forum Infect Dis. 2014;1(1): S58.

Arkansas Department of Health. Mumps. Available at: Services/infectiousDisease/CommunicableDisease/Pages/Mumps.aspx. Accessed on March 24, 2022.

Burns C, Dunn AM, Brady MA, Starr NB, Blosser CG, Garzon DL. Pediatr Primary Care. 6th ed. Philadelphia, PA: Elsevier. 2017.

Raut SK, Kulkarni PS, Phadke MA, Jadhav SS, Dhorje SP. Persistence of Antibodies Induced by Measles-Mumps-Rubella Vaccine in Children in India? Clin Vaccine Immunol. 2007;14(10):1370-71.

Gupta RK, Jennifer Bt, MacMahon E. Mumps and the UK epidemic. 2005;2005;330.

Bernard H, Schwarz NG, Melnic A, Bucov V, Caterinciuc N, Pebody RG et al. Mumps outbreak ongoing since october 2007 in the republic of Moldova. Euro surveillance. 2008;13(13):8.

Peltola H, Prasad SK, Subhash VK, Mikko P, Suresh SJ, Rajeev MD. Mumps Outbreaks in Canada and the United States: Time for New Thinking on Mumps Vaccines. Clin Infect Dis. 2007;45(4):459-66.

Moghe CS, Goel P, Singh J. Mumps outbreak investigation in Jaisalmer, Rajasthan, India, June-September 2016. J Med Virol. 2019;91(3):347-50.

Arshad AS, Shamila H, Khan I, Syed MA. Patterns of mini-outbreaks of mumps at South Kashmir, Pulwama, India 2007-2011. Nitte University J Heal Sci. 2013;3:52-5.

Sharma J. Surveillance of Mumps Cases in Lakhimpur District, Assam and Importance of MMR Vaccine. American Journal of Drug Delivery and Therapeutics. AJDDT. 2015;2(1):016-9.

John TJ. An outbreak of mumps in Thiruvananthapuram district. Indian Pediatr. 2004;41(3):298-300.

Gupta M, Tripathy JP, Verma M, Singh MP, Kaur R, Ratho RK et al. Seroprevalence of measles, mumps and rubella antibodies among 5-10 years old children in north India. Indian J Med Res. 2019;149:396-403.

Bakker W, Mathias R. Mumps caused by an inadequately attenuated measles, mumps and rubella vaccine. Can J Infect Dis. 2001;12(3):144-8.

Saha I, Haldar D, Paul B, Shrivastava P, Das DK, Pal M et al. An epidemiological investigation of mumps outbreak in a slum of Kolkata. J Commun Dis. 2012;44(1):29-36.






Original Research Articles